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vol.64 número6Impacto y visibilidad de la Revista Chilena de Cirugía tras su indización en las bases de datos SciELO e ISI: Análisis bibliométricoEvaluación de Programa de Especialidad de Cirugía Plástica, Reparadora y Estética de la Universidad de Chile: Visión de los últimos 6 años por egresados índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

AYALA M, Ricardo; QUEZADA K, María Beatriz; BRIONES S, Cecilia  y  SOLIS F, Fresia. Use of wing flaps to correct web space sequels of hand burns in children. Rev Chil Cir [online]. 2012, vol.64, n.6, pp.516-522. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262012000600004.

Background: With finger growth, sequels of burns in children located in the palm of the hand and web spaces tend to form syndactylyes, which can limit the opening of fingers. These sequels need a reconstructive surgical approach. Aim: To describe the use of flap wings for syndactylyes occurring after burns in children and analyze its surgical results. Materials and methods: Retrospective review of 50 medical records of children undergoing surgery using the flap wings technique in the hand, collecting demographic, clinical and surgical variables. Results: In the 50 children analyzed, 69 surgical procedures using the flap wing technique were performed, corresponding to 1.38 procedures per patient. The burn occurred at 2.2 ± 3.0 years of age. The surgical procedures were carried out 6.7 ± 4.5 years after the burn episode, at 8.9 ± 4.9 years of age. Wing flaps were located predominantly in second and third web spaces. Average operating time was 72.2 ± 34 minutes. Only three (6%) children had minor complications. Conclusions: The proposed surgical technique is a useful surgical approach for the burned web space of the hand, with a low proportion of complications.

Palabras clave : Burns; hand; flap wing.

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