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. 2007 Sep 30;20(3):129-36.

Les Sequelles de Brulures: Epidemiologie et Traitements

[Article in French]
N Chafiki  1 , J Fassi Fihri, E H Boukind
Affiliations

Les Sequelles de Brulures: Epidemiologie et Traitements

[Article in French]
N Chafiki et al. Ann Burns Fire Disasters. .

Abstract
in English, French

An epidemiological study was performed in the Burns and Reconstructive Surgery Centre in Casablanca University Hospital (Morocco). A one-hundred patient cohort was studied, with adults accounting for 55% of the cases; the average age was 20 years. Females represented 61% of the cohort. More than 50% of the patients were seen first in regional hospitals. The average time before healing was 7 months and 11 days, and minor and major burn scarring was frequent. The clinical epidemiology is described for each topographical body part and the results are compared with those in the literature. Various therapeutic approaches, using medical and surgical treatment, were followed. It is shown that prevention is still the best approach in the treatment of burns sequelae.

An epidemiological study was performed in the Burns and Reconstructive Surgery Centre in Casablanca University Hospital (Morocco). A one-hundred patient cohort was studied, with adults accounting for 55% of the cases; the average age was 20 years. Females represented 61% of the cohort. More than 50% of the patients were seen first in regional hospitals. The average time before healing was 7 months and 11 days, and minor and major burn scarring was frequent. The clinical epidemiology is described for each topographical body part and the results are compared with those in the literature. Various therapeutic approaches, using medical and surgical treatment, were followed. It is shown that prevention is still the best approach in the treatment of burns sequelae.

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Figures

Fig. 1
Fig. 1. Les mécanismes de la brûlure
Table I
Table I. Moyens thérapeutiques chirurgicaux utilisés
P1a
P1a. Brûlure profonde des mains.
P1b
P1b. Excision-greffe précoce.
P1c
P1c. pect post-opératoire.
P2a
P2a. Bride des deux piliers antérieurs du creux axillaire chez un jeune garçon.
P2b
P2b. Dessin de la plastie en trident de libération.
P2c
P2c. Aspect post-opératoire en antépulsion.
P3
P3. Patient ayant une bride du pilier postérieur du creux axillaire, libération et couverture par lambeau parascapulaire.
P3
P3. Patient ayant une bride du pilier postérieur du creux axillaire, libération et couverture par lambeau parascapulaire.
P3
P3. Patient ayant une bride du pilier postérieur du creux axillaire, libération et couverture par lambeau parascapulaire.
P4a
P4a. Bride du pilier postérieur du creux axillaire.
P4b
P4b. Libération par une plastie en trident.
-
-. -
P5a
P5a. Alopécie cicatricielle.
P5b
P5b. Couverture par lambeaux cutanés locaux expansés.
P6a
P6a. Séquelles majeures de brûlure du dos des mains.
P6b
P6b. Libération et couverture par greffe cutanée.
-
-. -
P7a
P7a. Séquelles rétractiles de brûlures du dos de la main.
P7b
P7b. Libération puis couverture par lambeau interosseux postérieur.
P7c
P7c. Aspect post-opératoire
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References

    1. Adil Y. Epidémiologie des brûlures à Marrakech. Thèse médecine Casablanca. 1996;103
    1. Adnane A. Epidémiologie des brûlures à Tanger. Thèse médecine Casablanca. 1996;9
    1. Arroub A. Epidémiologie des brûlures à Mohammédia. Thèse de doctorat en médecine, Casablanca. 1998;279
    1. Benmahfoud J. Epidémiologie des brûlures à Agadir. Thèse de médecine, Casablanca. 1996
    1. Imadjaren F.Z. Le traitement chirurgical des séquelles de brûlures. Thèse de médecine, Casablanca. 1989;11

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