RESUMO
Throwing highly corrosive acid into someone’s face to cause the deliberate destruction of an individual’s appearance is a serious assault. Some victims die as a result of the attack, some are blinded, and all have their facial features marred for life, causing severe social isolation and ostracism, and leading some victims to commit suicide years after the attack. Acid attacks in Cambodia are commonplace occurrences: a personal revenge for a variety of interpersonal disputes and perceived insults. Similar attacks occur in other developing countries, most especially in South and South-East Asia, and the first case occurring in Canada was recently reported in the press. Children’s Surgical Centre (CSC) has seen and treated at least 195 patients with acid burns since 1998, and some of the characteristics of the individual circumstances and the surgical care are discussed.
RESUMO
Objective To explore optimal methods and an opportunity of the management of scalp and facial burns caused by sulphuric acid,so as to prevent the development of facial hypertrophic scar and deformity. Methods Early zoning management were carried out in burn patients by sulphuric acid : ⑴Early (postburn 1～4 days) escharectomy and full or split thickness skin grafting were carried out in up-facial( forehead,temporal and up eyelid) ; ⑵Early(postburn 9～12 days) peeling of eschar and split thickness skin grafting were applied in cheek. ⑶Scalp expansion or skin grafting in granulation laterly in scalp wound according its shape and area.Results The wounds in 6 cases had healed comfortably ,hypertrophic scar and facial deformity were not occurred during the followed-up.3 cases of scalp burns scarring baldness were avoided.Conclusion Scalp and facial burns by sulphuric acid could be managed as early escharectomy and peeling of eschar and zoning skin grafting.As result,facial scar hypertrophy and deformity could be avoided.