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한국인 안면화상에 대한 임상적 연구 A Clinical Study on Facial Burns of Korean

대한성형외과학회지 1978년 5권 2호 p.173 ~ 178
김한중,
소속 상세정보
김한중 (  ) 
이화여자대학교 의과대학 성형외과학교실

Abstract


Burn-related death and injury become one of the major health problems today: from quarter to one-third of all burns are facial burns.
In the process of healing burn injury, contractures and hypertrophic scars are two frustrating sequelae of thermal injury. The two complications are so followed by not only deformity in outlook but difficulties to physical excercise as well that they make student-patients feel alienated from friends and, because of the defective body image, expecting development of harmonious personality is rarely possible. Adults of the kinds, also, often encounter inability against their social activities. Timely local management, therefore, on these complictiors is mostly significant.
We have undertaken analysis of car clinical experiences on facial burns and a review of the literatures. During the last eight years, from January, 1970 to December, 1977, 478 cases of facial burned patients had seen created at surgical departments in University Hospitals of Ewha, Korea and Chungang, and are summarized as follows;
1) Males were affected more often than females: 309 against 169. cases.
2) Incidence of facial burned patients reached 41. 1 % of the whole (478 among 1161). 99 patients among 478 were only facial burns and 379 had injury upon -combined areas together with on their faces.
3) Under 14-year-old group occupied 31.2% (31 among 99) of only facial burned patients and 67.2% (2:.5 a:1iong 379) of facial and combined area burns.
4) Seasonal distribution (cases) : spring 109, summer 127, autumn 111, winter 121.
5) To see the elements of 99 only facial burned group, eyelids burns were 34 and the most.
6) Neither early excision nor skin graft is adquate in cases of facial burns.
7) Open methods are desirable for local management on facial burns and adapting topical agent is rather useless.

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