Pediatr. praxi. 2024;25(6):390-397 | DOI: 10.36290/ped.2024.074
Burns in children and their consequences: Practical scar care
- 1 Klinika popálenín a plastickej chirurgie, Fakultní nemocnice, Brno
- 2 Lekárska fakulta Masarykovej univerzity Brno
The treatment of scars in pediatric burn patients es a combination of non-surgical and surgical approaches aimed at minimizing scar formation and improving both functional and aesthetic outcomes. Non-surgical options commonly include compression therapy, silicone applications, and moisturizers to promote scar maturation and hydration. Corticosteroids are used for their anti-inflammatory effects, while botulinum toxin and 5-fluorouracil help reduce scar hypertrophy. Advanced laser treatments, play a key role in scar remodeling. Other non-invasive therapies include intralesional and surface cryotherapy, as well as intense pulsed light (IPL), which helps improve scar texture. Among surgical options, scar excision and autologous skin grafts, either full or partial thickness, are commonly employed to replace damaged tissue. Tissue expanders enable the gradual stretching of skin, preparing the area for flap techniques. Local flaps and Z-plasty are used to improve scar mobility, while free flaps allow for the transfer of tissue from other parts of the body for more complex reconstructions. This comprehensive approach to scar management in pediatric burns ensures optimal functional and aesthetic recovery.
Keywords: pediatric scars, burns, scar therapy, conservative treatment, surgical interventions.
Accepted: December 10, 2024; Published: December 31, 2024 Show citation
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