Department of plastic, reconstructive and aesthetic surgery, Center for burned patients, CHU Mohamed VI Tangier, Morocco.
Research Article
World Journal of Advanced Research and Reviews, 2023, 20(02), 1193–1202
Received on 13 October 2023; revised on 22 November 2023; accepted on 24 November 2023
Burn injuries are very frequent in the north region of Morocco, the longer it takes for the burn wound to heal, the more serious are the sequelae leading to physical, functional, aesthetic, psychological and social consequences. The objectives of the present study are to review the epidemiological, clinical and therapeutic aspects of burn patients presenting with post-burn sequelae and treated at the Department of Plastic and Reconstructive Surgery of tangier, Morocco, from March 2021 until October 2023. This study included 65 patients with burns sequelae. The following variables were considered: age, sex, anatomical location, pathological types, and surgical procedure. There were 45 men (69.2%) and 20 women (30.8%), ranging in age from 2 to 66 years (mean age 18.7 years), most of the patients were children (39 = 60%). Burn contractures were observed in 31 (47.7%) patients, hypertrophic scars in 9 (13.8%), both Burn contractures and hypertrophic scars in 19 cases (29.2 %) keloids in 4 (6.2 %), and alopecia in 2 cases (3.1%). To correct the deformities the most common choice was the release or the excision of postburn scars+ split thickness skin grafting in 36.9 % followed by Z-pasty technique, used in 32.3% of cases, followed by Flaps in 13.9 % (Trident flap in 10.8 % and Advancement flaps in 3.1 %); full thickness skin grafts in 13.8% and direct closure in 3.1%. for optimal outcomes the development of an individual programme for surgical treatment of burns sequelae are crucial in patients with burns.
Burns sequelae; Skin grafts; Burn scar; Surgical techniques; Reconstruction.
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Dehhaze Adil, Taybi Otmane, Diher Issam, Labbaci Rim, Daghouri Nada-Imane, Mai Aicha, Barij Hamza and Tazi Hanae. Burns sequelae: Surgical management challenge, Our Experience in the department of Plastic and Reconstructive Surgery, University Hospital Center of Tangier. World Journal of Advanced Research and Reviews, 2023, 20(2), 1193-1202. Article DOI: https://doi.org/10.30574/wjarr.2023.20.2.2396