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

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,...

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Autores principales: Válik, Angyalka, Harangozó, Katalin, Garami, András, Juhász, Zsolt, Józsa, Gergő, Lőrincz, Aba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10053383/
https://www.ncbi.nlm.nih.gov/pubmed/36983917
http://dx.doi.org/10.3390/life13030762
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author Válik, Angyalka
Harangozó, Katalin
Garami, András
Juhász, Zsolt
Józsa, Gergő
Lőrincz, Aba
author_facet Válik, Angyalka
Harangozó, Katalin
Garami, András
Juhász, Zsolt
Józsa, Gergő
Lőrincz, Aba
author_sort Válik, Angyalka
collection PubMed
description 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).
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spelling pubmed-100533832023-03-30 Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns Válik, Angyalka Harangozó, Katalin Garami, András Juhász, Zsolt Józsa, Gergő Lőrincz, Aba Life (Basel) Article 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). MDPI 2023-03-11 /pmc/articles/PMC10053383/ /pubmed/36983917 http://dx.doi.org/10.3390/life13030762 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Válik, Angyalka
Harangozó, Katalin
Garami, András
Juhász, Zsolt
Józsa, Gergő
Lőrincz, Aba
Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns
title Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns
title_full Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns
title_fullStr Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns
title_full_unstemmed Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns
title_short Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns
title_sort mid-term follow-up study of children undergoing autologous skin transplantation for burns
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10053383/
https://www.ncbi.nlm.nih.gov/pubmed/36983917
http://dx.doi.org/10.3390/life13030762
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