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Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns

Authors :
Angyalka Válik
Katalin Harangozó
András Garami
Zsolt Juhász
Gergő Józsa
Aba Lőrincz
Source :
Life, Vol 13, Iss 3, p 762 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

Deep partial and full-thickness burns require surgical treatment with autologous skin grafts after necrectomy, which is the generally accepted way to achieve permanent wound coverage. This study sought to examine the grafted and donor areas of children who underwent autologous skin transplantation, using two assessment scales to determine the severity of the scarring and the cosmetic outcome during long-term follow-up. At the Surgical Unit of the Department of Paediatrics of the University of Pécs, between 1 January 2015 and 31 December 2019, children who had been admitted consecutively and received autologous skin transplantation were analyzed. Twenty patients met the inclusion criteria in this retrospective cohort study. The authors assessed the results using the Patient and Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS). There was a significant difference in how parents and examiners perceived the children’s scars. In the evaluation of the observer scale, the most critical variables for the area of skin grafted were relief and thickness. Besides color, relief was the worst clinical characteristic on the patient scale. However, when medical professionals evaluated the donor site, significantly better results were obtained compared to the transplanted area (average observer scale score: 1.4 and 2.35, p = 0.001; VSS: 0.85 vs. 2.60, p < 0.001), yet it was similar to the graft site in the parents’ opinion (Patient Scale: 2.95 and 4.45, p = 0.181).

Details

Language :
English
ISSN :
20751729
Volume :
13
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Life
Publication Type :
Academic Journal
Accession number :
edsdoj.7557354f9044cf785c6b5329c463683
Document Type :
article
Full Text :
https://doi.org/10.3390/life13030762