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. |
