In the 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, eventually, we are unable to find
any advantage of mesh grafted areas over 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 such cases, patch graft
from the scalp can achieve better results.