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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| Format: | Article |
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MDPI AG
2023-03-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/13/3/762 |
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| author | Angyalka Válik Katalin Harangozó András Garami Zsolt Juhász Gergő Józsa Aba Lőrincz |
| author_facet | Angyalka Válik Katalin Harangozó András Garami Zsolt Juhász Gergő Józsa Aba Lőrincz |
| author_sort | Angyalka Válik |
| collection | DOAJ |
| 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, <i>p</i> = 0.001; VSS: 0.85 vs. 2.60, <i>p</i> < 0.001), yet it was similar to the graft site in the parents’ opinion (Patient Scale: 2.95 and 4.45, <i>p</i> = 0.181). |
| first_indexed | 2024-03-11T06:17:29Z |
| format | Article |
| id | doaj.art-a7557354f9044cf785c6b5329c463683 |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-11T06:17:29Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-a7557354f9044cf785c6b5329c4636832023-11-17T12:12:01ZengMDPI AGLife2075-17292023-03-0113376210.3390/life13030762Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for BurnsAngyalka Válik0Katalin Harangozó1András Garami2Zsolt Juhász3Gergő Józsa4Aba Lőrincz5Department of Paediatrics, Medical School, University of Pécs, 7 József Attila Street, H-7623 Pécs, HungaryDivision of Paediatric Surgery, Traumatology, Urology and Paediatric Otolaryngology, Department of Paediatrics, Medical School, University of Pécs, 7 József Attila Street, H-7623 Pécs, HungaryDepartment of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pécs, 12 Szigeti Street, H-7623 Pécs, HungaryDivision of Paediatric Surgery, Traumatology, Urology and Paediatric Otolaryngology, Department of Paediatrics, Medical School, University of Pécs, 7 József Attila Street, H-7623 Pécs, HungaryDivision of Paediatric Surgery, Traumatology, Urology and Paediatric Otolaryngology, Department of Paediatrics, Medical School, University of Pécs, 7 József Attila Street, H-7623 Pécs, HungaryDepartment of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pécs, 12 Szigeti Street, H-7623 Pécs, HungaryDeep 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, <i>p</i> = 0.001; VSS: 0.85 vs. 2.60, <i>p</i> < 0.001), yet it was similar to the graft site in the parents’ opinion (Patient Scale: 2.95 and 4.45, <i>p</i> = 0.181).https://www.mdpi.com/2075-1729/13/3/762paediatricburnskingraftscarPOSAS |
| spellingShingle | Angyalka Válik Katalin Harangozó András Garami Zsolt Juhász Gergő Józsa Aba Lőrincz Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns Life paediatric burn skin graft scar POSAS |
| 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 | paediatric burn skin graft scar POSAS |
| url | https://www.mdpi.com/2075-1729/13/3/762 |
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