Papers of The 3rd Japan Scar Workshop

7. Evaluation of scaring of mesh grafts to burn wounds on children

Akira Sugamata
Plastic and Reconstructive Surgery of Tokyo Medical University Hachioji Medical Center

In treatment of burn wounds, it is a well known truth that mesh grafts suppress the occurrence of hypertrophic scars in the early stages after wound closure. However, as time passes, non grafted hypertrophic scaring areas become flat and smooth, after all we can not find any advantage of mesh grafted areas compared with non grafted areas. On the contrary, the look of the meshed pattern scars is uglier than that of non grafted areas. This ugly mesh scar can be the cause of much distress in pediatric patients.
For this reason, we should not select mesh grafts in operations for relatively small burn wounds in children. In these cases, patch grafts from the scalp can achieve better results.
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