5. Comprehensive treatment of deep facial burns. A clinical case
Downloads
Abstract
The article summarizes a case from practice, which describes the comprehensive treatment of a patient with a deep contact burn of the face. Throughout the development of humankind, people have been faced with the need to treat severe wounds, with facial injuries being of particular importance. Ancient sources describe that facial injuries were very common in Ancient India and the countries of the Middle East. Patient S. was admitted to the Almaty City Emergency Hospital in 2019. She received a thermal injury at home, according to the patient, she lost consciousness while cooking and fell on a burning gas stove burner. Upon admission, the general condition of the patient was severe, due to the injury and the presence of somatic pathology. The postoperative period was uneventful. Thus, in order to obtain satisfactory results in the surgical treatment of deep burns of the face, one operation is not enough, complex treatment is required, which includes physiotherapy and corrective operations, this is the only way to achieve the optimal, i.e. desired result. The need to develop new recommendations and their practical implementation for the treatment of this pathology will improve the quality and optimize the treatment of victims.
Keywords
burn, face, operation, physiotherapy
References
- Alekseev A.A., Kudzoev O.A., Sarygin P.V. Rational plastic surgery of local deep burns and frostbite [Racional’najaplasticheskaja hirurgija lokal’nyh glubokih ozhogov i otmorozhenij] // Mat. scientific Conf.: «Actual problems of traumatology and orthopedics». - N.Novgorod, 2001 - p. 69-70
- Alekseev A.A., Tyurnikov Yu.I. Statistical indicators of burn hospitals in the Russian Federation for 2013 [Statisticheskie pokazateli ozhogovyh stacionarov Rossijskoj Federaciiza 2013 god] // Mat. scientific Conf.: «Burns and disaster medicine». Ufa, 2014 - p. 16-18
- Ar’ev T.Ja. Thermal damage [Termicheskie porazhenija] //– L. :Medicina, 1966. – p. 704
- Vihriev B.S., Burmistrov V.M. Thermal damage [Termicheskie porazhenija] // L.: Medicina, 1985. – p. 208
- Gusak V.K., Fistal’ Je.Ja., BarinovJe.F., Shtutin A.A. Thermal subfascial lesions [Termicheskie subfascial’ny eporazhenija] //Doneck, 2000 – p. 181
- Evteev A.A., Tjurnikov Ju.I. Autodermoplasty failures [Neudachi autodermoplastiki] // M.: RA IL’’F, 2011. – p. 160
- Kichemasov S.H. Skin plasty with flaps with axial blood supply for thermal lesions of the IV degree [Kozhnaja plastika loskutami s osevym krovosnabzheniem pritermicheskih porazhenijah IV stepeni: avtoref. dis. d-ra med. nauk] // L., 1990 – p. 48
- Kolesnikov I. S., Vihriev B. S. Surgical treatment of deep thermal burns [Operativnoe lechenie glubokih termicheskih ozhogov] //– M.: Medgiz, 1962 – p. 179
- Maljutina N.B. Comparative evaluation of the effectiveness of various methods of surgical treatment of burned elderly and senile patients [Sravnitel’naja ocenka jeffektivnosti razlichnyh metodov operativnogo lechenija obozhzhennyh pozhilogo i starcheskogo vozrasta]: dis. kand. med. nauk. M., 2002. – p. 134
- Matveenko A.V., Chmyrѐv I.V., Petrachkov S.A. Determining the severity of the condition of those burned using coordinate grids of the probability of death [Opredelenie tjazhesti sostojanija obozhzhennyh s pomoshh’ju koordinatnyh setok verojatnosti letal’nogo ishoda ]// Ambulance: Ros. scient.-pract. magazine - St. Petersburg, 2013. -T.14, No. 1. - p. 34-43
- Porembskij Ja.O., Paramonov B.A., Jablonskij V.G. Burns: a guide for physicians [Ozhogi: rukovodstvodljavrachej] // St. Petersburg: SpetsLit, 2000 – p. 488
- Sokolov V.A. Combined auto-allodermoplasty in the treatment of burnt [Kombinirovannaja auto-allodermoplastika v lecheniiobozhzhennyh] :avtoref. dis. and. med. sc. – SPb.,1995. – p. 22
- TjurnikovJu.I., Suhov T.H., Evteev A.A. Experience in surgical treatment of patients with critical burns [Opyt hirurgicheskogo lechenija bol’nyh s kriticheskimi ozhogami ] // Mat. scientific Conf.: «Burns and disaster medicine». - Ufa, 2014 - p.204-206
- Chmyrev I.V. Necrectomy in the burned: Innovative approaches in the provision of specialized medical care [Nekrjektomija u obozhzhennyh: Innovacionnye podhody pri okazanii specializirovannoj medicinskoj pomoshhi]: dis. Dr. med. Sciences. SPb., 2014. – p. 301
- Shapovalov S.G., Belyh S.G. Surgical treatment of victims of burn injuries in emergency situations [Operativnoe lechenie postradavshih ot ozhogovoj travmy v chrezvychajnyh situacijah] // Bulletin of Pirogov National Medical & Surgical Center. — 2011. – T. 6, № 1. – p. 67-76
- Shapovalov S.G., Pleshkov A.S., Panov A.V., Melnikova O.A., Sukhoparova E.P., Novitskaya A.A. Organization of medical care for patients on the basis of the burn department. The first experience of using the MEEK methodology in Russia [Organizacija okazanija medicinskoj pomoshhi pacientam na baze ozhogovogo otdelenija. Pervyj opyt primenenija MEEK metodiki v Rossii ] // Mat. scientific Conf.: «Burns and disaster medicine». - Ufa, 2014 - p.79-81
- Bishara SA, Shady NH, Gunn SW /New technologies for burn wound closure and healing. Review of the literature. Burns 31 (2005): p. 944– 956
- Burke JF, Bondoc CC, Quinby WC /Primary burn excision and immediate grafting: a method shortening illness // J. Trauma Vol. 14, № 5(1974): p389 – 395
- Caldwell FT Jr, Wallace BH, Cone JB /Sequential excision and grafting of the burn injuries of 1507 patients treated between 1967 and 1986: end results and the determinants of death.// J BurnCareRehabil 17(1996): p137–146
- Cole JK, Engrav LH, Heimbach DM, Gibran NS, Costa BA, Nakamura DY, Moore ML, Blayney CB, Hoover CL/ Early excision and grafting of face and neck burns in patients over 20 years./ Plast Reconstr Surg 109(2002): p1266–1273