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Publications (8)3.32 Total impact

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    ABSTRACT: Necrotizing soft tissue infection (NSTI) is a rare but potentially fatal infection. It usually complicates skin traumas, such as lacerations, scratches, insect bites, burns and recent surgeries. Rapid diagnosis is crucial for a favourable prognosis. NSTI is an emergency surgical condition and every delay in the operative treatment has a proven negative effect. Recently, a rare case presented to us with a late diagnosis of NSTI complicating a scald burn of the lower limb. The patient's injury was initially treated as a burn case but unfortunately ended in an above knee amputation. We report our management experience in this case, with a review of the literature.
    The Annals of Fires and Burn Disaster 09/2013; 26(3):158-161.
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    ABSTRACT: Burn sequelae in children are conveyed in the form of retraction, deformity and growth problems together with dyschromia and trophic disorders. All the plastic surgical procedures can be used to correct them: full thickness or split thickness skin grafts, Z plasty and its derivatives (trident plasty, IC flaps), expansion, flaps, artificial skin, and dermabrasion. In most cases, these procedures will be combined. The aim of surgical treatment coordinated with rehabilitation is to restore the function, correct the deformities induced, improve the morphological aspect and permit normal growth. Good knowledge of the paediatric environment is, however, required to cope with the specificities of the child: treat the severe local inflammation, get the family to participate in the projects of rehabilitation, sometimes with the help of social services, maintain normal schooling, accompany the disorders in body schema, and, finally, prolong follow-up until growth is complete, a challenge in these patients who are often very young at the time of the accident.
    Annales de chirurgie plastique et esthetique 09/2011; 56(5):474-83. · 0.33 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Burn sequelae in children are conveyed in the form of retraction, deformity and growth problems together with dyschromia and trophic disorders. All the plastic surgical procedures can be used to correct them: full thickness or split thickness skin grafts, Z plasty and its derivatives (trident plasty, IC flaps), expansion, flaps, artificial skin, and dermabrasion. In most cases, these procedures will be combined. The aim of surgical treatment coordinated with rehabilitation is to restore the function, correct the deformities induced, improve the morphological aspect and permit normal growth. Good knowledge of the paediatric environment is, however, required to cope with the specificities of the child: treat the severe local inflammation, get the family to participate in the projects of rehabilitation, sometimes with the help of social services, maintain normal schooling, accompany the disorders in body schema, and, finally, prolong follow-up until growth is complete, a challenge in these patients who are often very young at the time of the accident.
    Annales De Chirurgie Plastique Esthetique - ANN CHIR PLAST ESTHET. 01/2011; 56(5):474-483.
  • Archives de Pédiatrie 06/2010; 17(6):884-5. · 0.36 Impact Factor
  • Archives de Pédiatrie 06/2010; 17(6):884-885. · 0.36 Impact Factor
  • Burns: journal of the International Society for Burn Injuries 07/2009; 36(4):e44-8. · 1.95 Impact Factor
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    ABSTRACT: Facial burns frequently occur in child. A total of 197 burned patients with facial localisation were seen during the time period (1991-1996) covered by this retrospective study. One hundred and sixteen patients were less than three years old. A quarter of the child were issued from poor social classes with nine cases of child abuse by burning. One hundred and thirteen injuries were performed by hot water or drinks. The total burn area was less than 10% in 63% of the cases. The average facial burned area was 4%. The cheek, the front and the chin were often concerned. Low limbs and trunk were unjured in all cases. 130 patients needed hospitalisation, and stayed in average 17.31 days at hospital. Four patients died from respiratory complications, all after flame injuries. Fifty two child needed skin split grafts. Complete cicatrisation was observed after 21 days of treatment in child without grafts, and after 35.65 days in child with skin grafts. Twenty eight patients needed physiotherapy in center. The scars had a correct cosmetic appearance, without retraction and inflammatory signs in 158 child after two years. Eleven patients needed other surgical treatment. The authors analyse the results and insist on prevention.
    Annales de Chirurgie Plastique Esthétique 07/2001; 46(3):190-5. · 0.32 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Facial burns frequently occur in child. A total of 197 burned patients with facial localisation were seen during the time period (1991–1996) covered by this retrospective study. One hundred and sixteen patients were less than three years old. A quater of the child were issued from poor social classes with nine cases of child abuse by burning. One hundred and thirteen injuries were performed by hot water or drinks. The total burn area was less than 10% in 63% of the cases. The average facial burned area was 4%. The cheek, the front and the chin were often concerned. Low limbs and trunck were unjuried in all cases. 130 patients needed hospitalisation, and stayed in average 17.31 days at hospital. Four patients died from respiratory complications, all after flame injuries. Fifty two child needed skin split grafts. Complete cicatrisation was observed after 21 days of treatment in child without grafts, and after 35.65 days in child whith skin grafts. Twenty eight patients needed physiotherapy in center. The scars had a correct cosmetic apperarance, without retraction and inflammatory signs in 158 child after two years. Eleven patients needed other surgical treatment. The authors analyse the results and insist on prevention.
    Annales De Chirurgie Plastique Esthetique - ANN CHIR PLAST ESTHET. 01/2001; 46(3):190-195.