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Volume V |
Number 3 |
September 1992 |
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SUMMARIES
| 149 |
A DIFFERENTIAL MODEL OF WOUND EPITHELIALIZATION FOR FULL-THICKNESS SKIN DEFECTS
(Manios A., Tzortzak¡s H., Minogiannis N., Tsiftsis D. - Greece)
A differential model of wound epithelialization is presented which describes concurrently the two processes of epithelial cell migration and epithelial cell mitosis. The model is a non-linear differential equation which describes the wound epithelialization process on the x-y plane. The equation has two components, a diffusion component and a population dynamics component. The results of the computer simulation were very realistic and will help the plastic surgeon to develop strategies for wound coverage via the use of a personal computer.
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| 152 |
MANAGEMENT OF THE DRESSING OF A SEVERELY BURNED PATIENT BY THE NURSING TEAM
(Riviére J.R., Huc M., Trouvillíez A., Palanque A.R., Bernaras F. - France)
The scientific knowledge of wound healing conditions and their evolution and complications leads to the elaboration of adaptable and evolutive wound dressing protocols. The authors consider dressings for the severely burned patient, and the necessity of the collaboration of the entire medical and paramedical team.
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| 155 |
EPILEPSY AND BURNS
(Napoli B., D'Arpa N., Masellis M. - Italy)
A description is given of cases of burns occurring during epileptic seizures in the period 1975-1991. Such cases usually require considerable commitment at the level both of surgical treatment and of rehabilitation.
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| 160 |
BURN UNIT TREATMENT OF THREE STEVENS-JOHNSON SYNDROME CASES WITH CRYOPRESERVED ALLOGRAFT
(Pousa F., Valero J., Vazquez-Barro A., Trincado S. - Spain)
Three cases of Stevens-Johnson syndrome are described. This syndrome is characterized by extensive loss of tffe epidermis and other complications. The cutaneous lesions are similar to second-degree burns in their development, and they benefit from temporary coverage with cryopreserved allografts, as may be performed in a Burns Centre.
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| 164 |
BURN SCARS AND CANCER DEVELOPMENT
(Kokkalis G., Trichifis E, Mixiou M. - Greece)
Unstable scar formations following burn or radiation injury frequently result in malignant degeneration, particularly squamous cell carcinoma and fibrosarcoma. Metastasis to regional lymph nodes is comparatively rare. The main treatment is necessarily surgical.
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| 165 |
RECONSTRUCTION OF SECONDARY BURN DEFECTS OF THE HEAD AND NECK WITH CONTROLLED TISSUE EXPANSION
(Cohen M., Marschall M.A., Tsutsos D.A. - U.S.A.)
The advantages of tissue expansion as a reconstructive technique in secondary burn defects in the head and neck area are described. The results of treatment in 23 patients are given. Apart from some minor disadvantages, tissue expansion proves to be a good, cost-effective and safe technique, especially in the case of burn alopecia.
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| 169 |
THE EFFECT OF VERY EARLY ENTERAL TUBE FEEDING ON THE HUMORAL IMMUNITY OF BURNED CHILDREN
(Germenis A.E., Achilleos O.A., Stavropoulos-Giokas C., loannovich J., Vaos G., Rondras K. - Greece)
A comparative study was made of the effects in severely burned children of very early enteral tube feeding (VEETF) and of per os feeding. It was found that a) VEETI` produced a significantly higher elevation of IgG, IgM and C4 serum levels, b) both feeding schemes caused a significant elevation of C3 scrum levels, that of VEETI` being higher; and c) neither feeding scheme had a significant effect on lgA scrum levels. It is concluded that VEETF in severely burned children has a more favourable effect on their humoral immunity than per os feeding.
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| 173 |
THE EVALUATION OF EARLY ENTERAL NUTRITION IN CHILD AND ADULT PATIENTS WITH EXTENSIVE BURNS: OUR EXPERIENCE
(Skodras K., Achilleos 0., Koulermoy G., Panayotoy P., Kastana 0., Vaos G., loannovich J. - Greece)
The aim of this study was to compare the effects of early enterat nutrition on extensive bums in children and in adults. The nutrition substance (Reabilan) was administered undiluted by nasogastric tube. The nitrogen balance, liver function, albumins and absolute lymphocyte count were studied. In children, positive nitrogen balance was achieved earlier and the absolute lymphocyte count was higher. Albumins remained at low levels longer in adults. Hepatic enzymes reached maximum values earlier in children than in adults.
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| 175 |
COMPARATIVE STUDY OF TOLERANCE AND COMPLICATIONS OF EARLY ENTERAL NUTRITION IN CHILD AND ADULT BURN PATIENTS
(loannovich J., Koulermou G., Achilleos 0., Panayotou P., Vaos G., Tsirigotou S., Skondras K. - Greece)
The results are reported of a clinical study in which the clinical and biochemical side-effects of early total enteral nutrition (TEN) in adult and child burn victims are compared. It was found that TEN was satisfactorily tolerated as there were no major gastric or intestinal side-effects or irreversible hepatic side-effects. Children had no GI side-effects and their hepatic enzymes responded well. There was no GI-tract bleeding in adults or children, and septicaemia either decreased or, in the case of children, did not occur.
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| 177 |
MASS BURN CASUALTIES AND THE ROLE OF EMERGENCY PREHOSPITAL SERVICES
(Filopoulos E. - Greece)
The importance of preparedness for mass burn casualties is underlined. Training programmes are required, as well as specific plans for the medical management of such disasters. Emergency prehospital services also play a vital role. A number of guidelines are given, as well as recommendations for eflicient triage.
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| 180 |
MAKING THE MEDITERRANEAN SAFER
(Saliba L.J. - Greece)
Although not directly concerned with bums and fire disasters, this article highlights problems of the Mediterranean that are of great interest to the MBC. The presence of petrochemical and other fire hazard industries brings the environmental problem even closer to the concerns of our organization, reasons for which we are pleased to reproduce parts of this report of an important project of the World Health Organization.
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