MODERN ASPECTS OF SURGICAL TREATMENT AND PREVENTION OF POST-BURN SCAR CONTRACTURES OF THE NECK

Aim. The aim of our work was the analysis of the methods and results of surgical treatment and prevention of post-burn scar contractures of the neck in children and adults in Krasnodar Krai.

Material and methods. Analysis was made of the treatment of 43 patients aged from 2 to 58 years who were treated in the Burn Department of the Research Institute – Regional Clinical Hospital №1 named after Professor S.V. Ochapovsky in 2006–2016.

Results. Children underwent plastics by local tissues mostly (64%), and adults – free skin plastics (55,6%). A direct result of the treatment was removal of the contracture and restoration of the neck skin. The early results from 1 to 11 months inclusively, were analyzed in 21 (84%) child and 12 (66,7%) adult patients. The remote results were followed up in 13 (52%) pediatric patients in a period of 1 to 10 years, in 8 (44,4%) adult patients in terms from 1 to 4 years.

Conclusion. Dissection and excision of the cicatrices simultaneously allows radically elimination of cicatricial deformity of the neck. The nature of the cicatricial skin lesions, the degree of contracture and the presence of cicatricial changes of adjacent areas tissues determine the way of the plastic closure of the wound.