TITLE:
Place of Total Self-Skin Transplant in the Management of Burns in Children: Results and Predictive Factors
AUTHORS:
Fatoumata Binta Balde, Zineb Benmassaoud, Thierry Mukenge, Majdouline Zemmari, Hicham Abdellaoui, Tazi Mohammed Charki, Karima Atarraf, My Abderrahmane Afifi
KEYWORDS:
Skin Transplant, Burn, Child
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.11 No.4,
December
8,
2021
ABSTRACT: Introduction: Skin transplant is essential in the management of
skin substance losses, especially in deep burns. Our
work aims to present, through a series of cases, the results of the skin
self-transplant carried out to supplement the treatment of skin burns. Materials
and Methods: A one-year prospective study of the total self-skin transplant performed in the management of
burns in children was included. After clinic and biologic considerations, a total self-skin transplant was performed. Results: Forty-five
burns were hospitalized, of
which six patients received a total self-skin
transplant. The average age was 7.43 years with male predominance. The burns
were deep thermal burns, preferentially located on the trunk and upper limbs
covering over 10% - 25% of the body surface of
which 3% - 13% was transplanted.
Transplant held in all patients. The surfaces left in spontaneous healing took
at least 6 months to heal with some complications. Discussion: We
performed a total self-skin transplant beyond technical reasons, for the best
aesthetic and functional result it offers. The transplant significantly reduced
the healing time with better aesthetic and
functional results. The burned surfaces left to direct healing took an average
of 6 months to heal and there were associated complications such as formation of keloid scars, hypertrophic plaques and skin retractions leading to cosmetic deformities. The final results
appear to be independent of the time required to complete the transplant, and
it will be necessary to ensure that there is no local and systemic infection
and anaemia. Conclusion: Total self-skin grafting still has its place in
the initial management of burns in children. It offers good aesthetic and
functional results.