WORLD JOURNAL OF PLASTIC SURGERY
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Volume 9, Issue 1 (2020)
WJPS 2020, 9(1): 82-87 |
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Ziegler T, Cakl T, Schauer J, Poegl D, Abdelkarim A, Kempny T. Treatment of Second to Third-Degree Burns in A 2-Day-Old Infant: A Case Report. WJPS 2020; 9 (1) :82-87
URL: http://wjps.ir/article-1-492-en.html
URL: http://wjps.ir/article-1-492-en.html
Thomas Ziegler 
1, Thomas Cakl2 , Johannes Schauer2 , Dieter Poegl2 , Ahmad Abdelkarim2 , Tomas Kempny2
1, Thomas Cakl2 , Johannes Schauer2 , Dieter Poegl2 , Ahmad Abdelkarim2 , Tomas Kempny2
1- Division of Plastic and Reconstructive Surgery, Department of Surgery, Klinikum Wels-Grieskirchen, Austria , thomas-ziegler@gmx.at
2- Division of Plastic and Reconstructive Surgery, Department of Surgery, Klinikum Wels-Grieskirchen, Austria
2- Division of Plastic and Reconstructive Surgery, Department of Surgery, Klinikum Wels-Grieskirchen, Austria
Abstract: (3687 Views)
Burn injuries in newborns are particularly complex cases. Since these patients are rare, there is little experience and no existing standardized treatment. This report examines a case of accidental second to third-degree burning of the heel and toes on the left foot in a new-born girl. The burns covered an estimated 1% of the total body surface area (TBSA). After an initial debridement and 32 days of non-surgical wound therapy with Adaptic® fat gauze dressings, we were able to achieve an aesthetically and functionally satisfactory result including the complete preservation of all toes. Modern wound treatment following the principle of less frequent dressing changes allows the burn wound to have better re-epithelialization. New findings in stem cell research indicate that the high proportion of mesenchymal stem cells (MSC) in postnatal blood is also involved in the regeneration and healing of burns. To our knowledge, this is the first case report dealing with initial non-surgical combustion therapy in a newborn. In order to eliminate a scar contracture, we carried out a Z-plasty one year later
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