Assuntos
Queimaduras/complicações , Contratura/cirurgia , Procedimentos de Cirurgia Plástica/efeitos adversos , Sons Respiratórios/etiologia , Paralisia das Pregas Vocais/complicações , Adulto , Queimaduras/cirurgia , Contratura/complicações , Humanos , Masculino , Fatores de Risco , Fatores de TempoRESUMO
Acid burn causes a nonthermal trauma, with higher prevalence in developing countries. These burns are potentially lethal if it involves a significant proportion of the body surface. A retrospective review was performed by analyzing patient records of the Burns and Reconstructive Surgical Unit for 18 months. We received 46 acid burn patients due to assaults, which is 4% of the total number of burn patients during the period. The age range was 12 to 60 years, and 63% of the patients were between 21 and 40 years. The male to female ratio was 2.8:1. The type of acid was known in only 20 (43%) patients, the commonest being formic acid (41%). The average TBSA burnt was 14.6% in acid assaults, and the commonly involved areas were the face (93%), chest (65%), and upper limbs (64%). Mortality was 4.34%. Excision and grafting were required in 20 (43.4%) patients. Only 18 (39%) were attending rehabilitation. Acid burns in Sri Lanka commonly occur due to assaults, with a distinctive pattern of skin and body involvement. Management and rehabilitation require a multidisciplinary approach to prevent deformity and disability. These cases demonstrate poor compliance with rehabilitation.
Assuntos
Ácidos , Queimaduras Químicas/epidemiologia , Violência/estatística & dados numéricos , Adolescente , Adulto , Queimaduras Químicas/etiologia , Queimaduras Químicas/cirurgia , Criança , Estudos Transversais , Países em Desenvolvimento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Sri Lanka/epidemiologiaAssuntos
Queimaduras Químicas/terapia , Fósforo/toxicidade , Adulto , Antídotos/uso terapêutico , Bandagens , Queimaduras Químicas/prevenção & controle , Queimaduras Químicas/cirurgia , Sulfato de Cobre/uso terapêutico , Desbridamento , Humanos , Iraque , Guerra do Iraque 2003-2011 , Irrigação Terapêutica , Adulto JovemAssuntos
Queimaduras/etiologia , Substâncias Explosivas , Querosene , Sasa , Adolescente , Humanos , Masculino , Sri LankaRESUMO
Severe neck contractures after burns cause gross facial deformity and severe functional disability. Reconstruction of these deformities is challenging. Goals of reconstruction are to obtain full range of neck movements and to restore the aesthetic appearance to the face and neck. Several methods have been described. Although all of them focus on achieving full extension and resurfacing of the neck, they often fail to restore an aesthetic contour to the neck especially in lateral profile. We present our method based on the treatment of 96 patients, with severe neck contractures operated between September 2000 and October 2005. We have successfully achieved full unlimited range of neck movements and restored a natural pleasing contour of the neck both in anterior and lateral profile. There has been no recontracture at the follow-up of 1 year.
