The late appearance of scars after burns in childhood

Scand J Plast Reconstr Surg Hand Surg. 1997 Dec;31(4):319-25. doi: 10.3109/02844319709008978.

Abstract

The late appearance of scars in children who had been burned, mainly scalded (n = 82, 90%) were analysed retrospectively from patient records and by clinical reassessment. All 91 patients who were re-examined had primarily sustained a burn of at least 5% of their total body surface area (TBSA). Only five patients showed no visible scars. The median interval between primary injury and re-examination was 17.3 years (range 6.4-30 years). Less than half of the patients (n = 36, 40%) had distinct scars without hypertrophy. The remaining 55 (60%) had either hypertrophic or constrictive scars. The scars were mostly located on the trunk (29%) and looked mainly hypertrophic (30.2%). The mean area of scars varied from 0.47% (on the neck) to 3.73% (on the left lower limb). There was no significant association between the appearance of the scar and any given method of treatment. The late cosmetic results were better than anticipated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Burns / pathology*
  • Child
  • Child, Preschool
  • Cicatrix / pathology*
  • Constriction, Pathologic
  • Female
  • Humans
  • Hypertrophy
  • Infant
  • Male
  • Retrospective Studies
  • Time Factors