POST-BURN CHONDRITES OF AURICLES

Abstract

The purpose of the work: to analyze the results of treatment of patients with chondroperichondritis caused by a burn injury.

Materials and methods. 18 patients with head burns were treated, in 12 (66.66 %) of them, the course of the disease was complicated by perichondritis, 6 (33.34 %) by chondroperichondritis. The age of patients ranged from 18 to 67 years. There were 16 men (88.88 %), 2 women (11.12 %). 15 (83.33 %) patients had unilateral lesions, 3 (16.67 %) had bilateral lesions.

The results. In all patients, the treatment of perichondritis began with the local application of antiseptics (chlorhexidine, betadine solution, octenisept, dekasan, ointments with levomekol, silver sulfodiazine, and others). Patients with widespread burns of the body were given infusion therapy to improve microcirculation in the wound with salt, salt-free and, as indicated, protein preparations, patients received reosorbilact, Ringer’s lactate, pentoxifylline, trental, actovegin, antibacterial drugs. In severe edema, early drainage was performed through an incision with removal of necrotic tissues. When a necrotic scab was formed, a necroctomy was performed with the removal of part of the cartilage within healthy tissues. With exposed cartilage, when the formation of granulation tissue was impossible, revascularization of the exposed cartilage was performed with a temporal fascia flap on the vascular pedicle. The most common cause of a deep auricle burn was a flame burn. All patients who developed perichondritis were diagnosed with deep burns. Perichondritis and chondroperichondritis of the auricle is a very complex disease that requires complex medical treatment and quick surgical intervention - drainage. In all cases, an attempt was made to preserve the exposed cartilage and cover it with local tissues as much as possible.