Post Burn Microstomia: Challenges and Comprehensive Management | Chapter 9 | Medicine and Medical Research: New Perspectives Vol. 8

This book chapter explores the obstacles faced by healthcare professionals in the management of patients suffering from microstomia, a condition resulting from orofacial, and neck burns with subsequent contractures. Postburn microstomia poses dual challenges for both the anesthesiologist and the plastic surgeon due to the severe restriction in oral opening, making airway management and surgical intervention complex tasks.

To address these challenges, this chapter delves into the innovative use of fiberoptic nasal intubation techniques, which offer a unique solution for navigating the challenging anatomy and ensuring patient safety during intubation. Furthermore, it explores the surgical aspect of managing microstomia through bilateral oral commissuroplasty, a reconstructive procedure aimed at not only restoring oral function but also achieving aesthetically pleasing results.

This comprehensive approach underscores the collaborative efforts of anesthesiologists and plastic surgeons in managing patients with severe microstomia, emphasizing the importance of both functional and aesthetic considerations, ultimately improving patient outcomes and quality of life.

 

Author (s) Details

Mohd. Altaf Mir
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bathinda, 151001, India.

 

Sakshita Pal
All India Institute of Medical Sciences (AIIMS), Bathinda, 151001, India.

 

Sarabjot Singh Anant
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bathinda, 151001, India.

 

Rahul Kaushik
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bathinda, 151001, India.

 

Ashwini Tiwari
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bathinda, 151001, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v8/2156

Nutritional Therapy for Burns in Children: A MiniReview | Chapter 14 | Highlights on Medicine and Medical Research Vol. 9

 Burns are a dangerous injury and one of the most common causes of trauma in children, especially those under the age of five. Nutritional support has been recognized as one of the most crucial parts of medical burns care in terms of simply nutrition for these patients because to a notable hypermetabolism immediately or early after burn and protection from infections. Resting energy expenditure (REE) has a curvilinear increasing trend according to the total burned surface area (TBSA), and indirect calorimetry is considered the most accurate method to evaluate the energy output of burned patients. Protein requirements in burned children are often greater than suggested dietary allowances, with protein intake ranging from 1.5 to 3.0 g/kg/diet. Carbohydrates should account for 55–60% of total energy intake (TEI), while fats should account for less than 35% of TEI. To facilitate sufficient wound healing, children suffering from significant burns should receive vitamin supplements in the form of a multivitamin, in addition to vitamin C, vitamin A, and zinc sulfate. For a burned patient, enteral feeding is the first line of nutritional therapy, and it should be started soon once. A suitable amount of calories must be supplied to the patient to resolve hypermetabolism. As long as wound healing is good, increasing protein intake is also important. Parenteral feeding is utilized when enteral nourishment is not possible or is contraindicated.

Author (s) Details

Myriam Galfo
Council for Agricultural Research and Economics (CREA), Research Center for Food and Nutrition, Rome, Italy.

Andrea De Bellis
Plastic Surgery Department, Burns Center ASL Roma 2 S, Eugenio Hospital, Rome, Italy.

Francesca Melini
Council for Agricultural Research and Economics (CREA), Research Center for Food and Nutrition, Rome, Italy.

View Book :- https://stm.bookpi.org/HMMR-V9/article/view/1034