SPATERGEBNISSE NACH ZWEIT- UND DRITTGRADIGEN VERBRENNUNGEN IM KINDESALTER UNTER BESONDERER BERUCKSICHTIGUNG DER ABSCHLEIFMETHODE NACH LORTHIOIR UND THIELEN

From 1966 to 1982, 529 children with second and third degree burns were treated at the Mainz University Hospital of Pediatric Surgery. 61% of the patients presented with second degree burns and 39% with third degree burns. Each fifth patient suffered from a critical burn. In one third of all cases a surgical treatment (abrasion method) was performed primarily; two thirds of the patients underwent a conservative treatment (open or closed procedures). In a follow-up study 248 children (46.9% were reexamined on the basis of an own control-pattern for the comparison of the different treatment methods. In patients with second degree burns the late results were excellent in 66% and good in 34%; in third degree burns the late results were good in 51%, middling in 36% and poor in 13%. Regarding the local treatment procedures, the late results of patients with second and third degree burns covering more than 10% of the body surface were better when abrasion method had been performed than late results of patients with open air or closed treatment. Beside the well-known patho-physiological and diagnostic advantages, the late results, too, favour the abrasion method as the treatment of first choice especially in burns affecting more than 10% of the body surface.