Başkent Üniversitesi Yayınları

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    CASE REPORT Role of Burn Teams in Management of Inflammatory Skin Reactions: Report of 2 Cases
    (Başkent Üniversitesi, 2022-06) A. Ebru Abali; Cem Aydogan; Santiago J. Santelis; Nesibe Deren Ozcan; Ozlem Ozbek; Mehmet Haberal
    ABSTRACT Several manifestations of inflammatory skin reactions have been described. Toxic epidermal necrolysis is an acute skin inflammatory reaction. It is generally triggered by upper respiratory tract infections or by medications such as nonsteroid anti-inflammatory drugs, antibiotics, and anticonvulsants. It is associated with a significant mortality of 30% to 50% and long-term sequelae. Here, we present 2 cases of toxic epidermal necrolysis who were treated by a multidisciplinary team involving burn professionals.
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    Microsurgical Flaps in High-Voltage Electrical Burns: Experience at the Chilean National Burn Reference Center
    (Başkent Üniversitesi, 2022-03) Roberto Macchiavello Macho; Nicolas Flores Moltedo; Marco Rios Vergara; Carolina Soto Diez
    ABSTRACT OBJECTIVES: Microsurgical flaps in high-voltage electrical burns are commonly used in response to a scarcity of remaining local tissues. Here, we share our experiences with microsurgical flaps in patients with high-voltage electrical burns at the National Burn Reference Center in Chile. MATERIALS AND METHODS: We conducted a descriptive retrospective study of patients with high-voltage electrical burns reconstructed with microsurgical flaps who were seen at our center between 2019 and 2021. Demographic and surgical data were obtained from clinical records. Preoperative studies were performed with computed tomography angiography and Doppler ultrasonography. Surgeries were performed by staff plastic surgeons, who used the same techniques and instruments. Postoperative monitoring was performed using conventional clinical methods. RESULTS: During the study period, 16 patients received a total of 19 flaps. Mean age was 41.5 years (range, 20-69 years). All were men with mean percentage of total body surface area of 11.8% (range, 1% to 45%). Mean days from burn to flap surgery was 40 days (range, 28-68 days). The most frequent defects to be covered were foot and forearm, the most used flap was the anterolateral thigh flap, and the mean surgical time was 7.36 hours (range, 4.5-10.83 h). Overall success of the flaps was 94.7%. Four patients had flap complications, with need for reoperation in 3 patients. Mean hospital stay was 53 days (range, 16-98 days). CONCLUSIONS: The use of microsurgical flaps in patients with electrical burn is a safe option for defects in different anatomic locations, considering an adequate debridement, the use of healthy receptor vessels, a trained microsurgical team, and adequate timing.
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    Türkiye’deki Plastik ve Rekonstrüktif Cerrahi Kliniklerinin Yanık Tedavi Kapasitelerine Bir Bak›f
    (Başkent Üniversitesi, 2003-05) Y. Karabağlı; A. A. Köse; C. Çetin
    Amaç: Türkiye’de akut yanık bakımı yapan Plastik ve Rekonstrüktif Cerrahi klinikleri arasında koordinasyon, işbirliği, eğitim, bilgi, görgü alışverişi sağlamak, yanık tedavi kapasitelerini ortaya koymak amaçlandı. Materyal ve Metod: Hazırlanan 14 soruluk anket Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Derneğinden adresi alınan Plastik ve Rekonstrüktif Cerrahi kliniklerine gönderildi. Anket yanıtları derlenerek, Plastik ve Rekonstrüktif Cerrahi kliniklerinin yanık bakımına ayrılan fizik ve personel koşulları ortaya konmaya çalışıldı. Sonuç: Ulaşılabilen 23 kliniğin 13 ünde akut yanık bakımı yapılmakta idi. Diğer kliniklerde akut yanık bakımı yapılmamakla beraber, yanık sekellerinin kozmetik ve fonksiyonel rekonstrüksiyonu yapılmakta idi. Yorum: Ülkemizde sayıca az da olsa ideal şartların sağlanabildiği yanık bakım organizasyon sistemleri mevcuttur. Ülkemizin ekonomik şartlarında, yanık bakımının sadece ideal şartların sağlanabildiği yerlere bırakılması, bu sistemlere ulaşamayan yanıklı bireylerin tedaviden yoksun kalmaları ile sonuçlanabilir. Bu nedenle var olan ünite/merkezlerin ideal şartlara sahip olana dek optimal koşullarda çalıştırılması gerekir. The Burn Care Capacities of Plastic and Reconstructive Surgery Clinics in Turkey Objective: The aim of this study was to establish core information for coordinating, cooperating and exchanging knowledge and education among Plastic and Reconstructive Surgery Departments in Turkey that deal with acute burn management. Materials and Methods: A questionnaire was prepared and sent to all Plastic and Reconstructive Surgery Departments registered with the Turkish Plastic, Reconstructive and Aesthetic Surgery Association. Responses were evaluated, and the physical capacities and manpower of the departments that provide acute burn care were assessed. Results: Thirteen of the 23 clinics that were contacted reported that they currently care for patients with acute burns. The remaining 10 were strictly involved with cosmetic and functional reconstruction of burn sequelae. Nine of 13 clinics stated that they have special burn units, and the remaining 4 reported that they only have separate rooms for burn patients. The 13 clinics stated that they hospitalized 30 to 500 acute burn victims annually. Forty-six percent of the 13 centers reported having ventilators, 47% reported having cardiac monitors, and 23% reported having operating rooms within the unit. Conclusion: Only a few institutions in Turkey have highquality burn care systems. If all acute burn care remains concentrated in this small group of centers, burn patients who cannot access these sites will not be able to get the care they need. It is essential that all centers that currently provide any level of burn care make an effort to improve their management systems.