A Hospital Based Study of Management of Post Burn Sequelae in Western Up, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
In a developing country like India, the estimated annual burn incidence is approximately 6-7 million every year. The high incidence is attributed to illiteracy, poverty and low level of safety consciousness in the population at large. The incidence of upper extremity burns constitutes a major chunk amongst them. In addition to physical disabilities the burn patients suffer psychologically and are unable to take, their proper place in the society. The non -utilization of their abilities is loss to the family, community and country. Help from any conceivable quarter for their rehabilitation is welcome so burn rehabilitation team in addition to plastic surgeon, nursing personnel, burn technicians also consists of physical and occupational therapists, social workers, psychiatrists and planning coordinators. The study comprises of 100 cases admitted with various post burn sequelae in the CSSH Subharti Hospital admitted from October 2016 to June 2018 in General Surgery and Plastic Surgery Units in CSSH Subharti Hospital Meerut. According to our study 100 patients maximum numbers of patients 63 % were in the age group of 11-30 yrs. The study showed that accidental burn 97% was the major cause of burn . The study showed out of 100 patients with post burn sequelae , the most common was contractures 69 patients , followed by hypertrophic scars in 11 patients & hyper-pigmentation in 7 patients with hypo-pigmentation in 3 patients, keloids in 6 patients & syndactyly in 4 patients. The most common surgical technique used for correction of post burn sequelae was excision and grafting followed by z- plasty & flap cover. Various topical agent like Trimacilone/ Flavonoid/ Hydroquinone were also used in addition to Pressure garments & Silicon Sheets.Our finding are that management of post burn sequelae is often a complex process and plan to be customized for each patients combining various available methods.
Authors and Affiliations
Dr. Monga . Y. P, Dr. Parya Pankaj, Dr. Kansal Sandeep
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