Edmund Fitzgerald O'Connor1, Q Frew2, A Din3, J Pleat4, S Ashraff3, S Ghazi-Nouri5, N El-Muttardi3, B Philp3, P Dziewulski2. 1. St. Andrews Centre for Burns & Plastic Surgery, Mid Essex NHS Hospitals Trust, Broomfield, Chelmsford, Essex CM1 7ET, United Kingdom; St Andrew's Anglia Ruskin (StAAR) Research Group. Electronic address: edmundfitz@doctors.org.uk. 2. St. Andrews Centre for Burns & Plastic Surgery, Mid Essex NHS Hospitals Trust, Broomfield, Chelmsford, Essex CM1 7ET, United Kingdom; St Andrew's Anglia Ruskin (StAAR) Research Group. 3. St. Andrews Centre for Burns & Plastic Surgery, Mid Essex NHS Hospitals Trust, Broomfield, Chelmsford, Essex CM1 7ET, United Kingdom. 4. Frenchay Hospital, Bristol BS16 1LE, United Kingdom. 5. Broomfield Hospital, Court Road, Broomfield, Chelmsford, Essex CM1 7ET, United Kingdom.
Abstract
INTRODUCTION: Periorbital burns are an infrequent but potentially devastating injury. This study aimed to elucidate the spectrum of such injuries presenting to a UK burns centre and the outcome achieved in the cases requiring periorbital reconstruction for the restoration of function and form. METHODS: Patients admitted to a UK regional burns centre between January 2005 and January 2011 with periorbital burns were identified from the Patient Administration System (PAS), theatre logs and the International Burns Injury database (IBID). Multiple parameters were assessed using patient notes, ITU and hospital image databases. RESULTS: Over 6 years, 167 patients with facial burns requiring surgery were treated, including 103 patients with eyelid burns. The mean burn size was 33% total body surface area. The eyelid burn depth varied; 67% superficial partial thickness, 17% deep dermal and 16% full thickness. Two patients lost complete vision in one eye, one patient underwent amniotic membrane grafting. In total 16 patients required periorbital reconstruction to maintain eye closure, with 1.8 operations on average per patient. Acute surgery was required in 11 patients, whilst late intervention (>3 months) was needed in 5, 2 patients had both acute and delayed surgery. Of the 5 late intervention patients 4 were treated with full thickness skin grafts and 1 with a Z plasty. Average time for final reconstruction with delayed surgery was 4.5 months. CONCLUSION: The goal in management of periorbital burns is preservation of vision, prevention of future complications and restoration of an acceptable aesthetic outcome. Total visual loss is thankfully rare, but early ophthalmology intervention is vital given the evidence of corneal damage as a brief therapeutic window exists.
INTRODUCTION: Periorbital burns are an infrequent but potentially devastating injury. This study aimed to elucidate the spectrum of such injuries presenting to a UK burns centre and the outcome achieved in the cases requiring periorbital reconstruction for the restoration of function and form. METHODS:Patients admitted to a UK regional burns centre between January 2005 and January 2011 with periorbital burns were identified from the Patient Administration System (PAS), theatre logs and the International Burns Injury database (IBID). Multiple parameters were assessed using patient notes, ITU and hospital image databases. RESULTS: Over 6 years, 167 patients with facial burns requiring surgery were treated, including 103 patients with eyelid burns. The mean burn size was 33% total body surface area. The eyelid burn depth varied; 67% superficial partial thickness, 17% deep dermal and 16% full thickness. Two patients lost complete vision in one eye, one patient underwent amniotic membrane grafting. In total 16 patients required periorbital reconstruction to maintain eye closure, with 1.8 operations on average per patient. Acute surgery was required in 11 patients, whilst late intervention (>3 months) was needed in 5, 2 patients had both acute and delayed surgery. Of the 5 late intervention patients 4 were treated with full thickness skin grafts and 1 with a Z plasty. Average time for final reconstruction with delayed surgery was 4.5 months. CONCLUSION: The goal in management of periorbital burns is preservation of vision, prevention of future complications and restoration of an acceptable aesthetic outcome. Total visual loss is thankfully rare, but early ophthalmology intervention is vital given the evidence of corneal damage as a brief therapeutic window exists.
Authors: C Keilani; A De Faria; A Baus; M Delbarre; J V Schaal; F Froussart-Maille; E Bey; P Duhamel Journal: Ann Burns Fire Disasters Date: 2021-12-31
Authors: Andreea Grosu-Bularda; Mihaela-Cristina Andrei; Anca Daniela Mladin; Maria Ionescu Sanda; Maria-Magdalena Dringa; Dragos Constantin Lunca; Ioan Lascar; Razvan Nicolae Teodoreanu Journal: Rom J Ophthalmol Date: 2019 Jan-Mar