Effects of thin-scalp grafts in the treatment of deep burn injuries in children

Tran Dinh Hung1,, Nguyen Thi Thu Hoai2
1 National Burn Hospital
2 Bệnh viện Nhi Thanh Hoá

Main Article Content

Abstract

The aims of this study were to evaluate the effectiveness of thin-scalp grafts in the treatment of deep burn injuries in children. Prospective study on 38 pediatric patients, intervention 57 times thin-skin grafts surgery to treat deep burns of 2% of a body area or more at the National Burn Hospital from October 2021 to July 2022. Patients were divided into two groups: The scalp group (study group) and the other area skin group (control group).
The results showed that the survival rate of thin-skin grafts in the study group was significantly better than that of the control group (p = 0.02), especially in the post-necrotic resection background. The coverage ratio when skin grafting and the time of the epithelium covered the mesh in the 2 groups were similar with p > 0.05. The blood loss when taking skin per cm2 in the 2 groups was similar (0.34ml in the study group and 0.33ml in the control group with p > 0.05).

Article Details

References

1. Wyrzykowski D., Chrzanowska B., Czauderna P. (2015) Ten years later-scalp still a primary donor site in children. Burns: Journal of the International Society for Burn Injuries, 41 (2), 359-363.
2. Chang L.-Y., Yang J.-Y., Chuang S.-S., et al. (1998) Use of the Scalp as a Donor Site for Large Burn Wound Coverage: Review of 150 Patients. World Journal of Surgery, 22 (3), 296-300.
3. Oh S. J. (2020) A systematic review of the scalp donor site for split-thickness skin grafting. Archives of Plastic Surgery, 47 (6), 528-534.
4. Barret J. P., Dziewulski P., Wolf S. E., et al. (1999) Outcome of Scalp Donor Sites in 450 Consecutive Pediatric Burn Patients. Plastic and Reconstructive Surgery, 103 (4), 1139-1142.
5. Farina Junior J. A., Freitas F. A. S., Ungarelli L. F.et al. (2010) Absence of pathological scarring in the donor site of the scalp in burns: An analysis of 295 cases. Burns, 36 (6), 883-890.
6. Martinot V., Mitchell V., Fevrier P., et al. (1994) Comparative study of split-thickness skin grafts taken from the scalp and thigh in children. Burns, 20 (2), 146-150.
7. Berkowitz R. L. (1981) Scalp-in search of the perfect donor site. Ann Plast Surg, 7 (2), 126-127.
8. Nguyễn Duy Khánh (2011) Nghiên cứu ứng dụng phẫu thuật lấy da đầu điều trị tổn thương bỏng sâu, Luận văn thạc sĩ Y học, Học viện Quân y.
9. Van Niekerk G., Adams S., Rode H. (2018) Scalp as a donor site in children: Is it really the best option? Burns, 44 (5), 1259-1268.