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Revista Cubana de Medicina Militar

ISSN 1561-3046 (Electronic)
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2015, Number 1

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Rev Cub Med Mil 2015; 44 (1)

Comprehensive treatment of severe burnt patient

Valdés MS, Palacios AI, Mariño FJA
Full text How to cite this article

Language: Spanish
References: 12
Page: 130-138
PDF size: 149.30 Kb.


Key words:

burn patients, post-burn sequelae, keloid scars, reconstructive treatment.

ABSTRACT

A 47 year-old male patient with a history of hypertension suffered an inflamed gasoline accident at home in May 2009. This accident produced lesions on his face, anterior neck, trunk and limps. These burns reached 67.7 % of the total body surface area, out of which 51.3 % were hypodermic burns, and 16.4 % dermal AB, for a 59.5 severity index and prognosis of extremely critical. His admission is decided in intensive care regimen of the Burn Therapy Service at the Central Military Hospital where various surgical treatments were performed. He had a hospital stay of 98 days. At discharge sequelae were left as post burns, multiple keloids and hypertrophic scars all over his body, syndactyly microstoma in his left hand. The patient returned to our service at 2 years and 6 months for reconstructive treatment of keloid scar affecting his chin and upper lip, and the microstoma. Reconstruction of the affected area was performed by combining local and distance plasty. Satisfactory aesthetic and functional results were obtained, demonstrating that comprehensive treatment of burn patients guarantees survival, sepsis control, aesthetic, functional and psychic sphere improvement.


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Rev Cub Med Mil . 2015;44