vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v23i5.2796vsp-3605Research ArticleКЛИНИЧЕСКОЕ НАБЛЮДЕНИЕCLINICAL OBSERVATIONSСовременные методы ведения пациентов педиатрического профиля с постожоговыми рубцовыми поражениями: клинические наблюденияCurrent Management of Pediatric Patients with Post-Burn Scars: Case Studyhttps://orcid.org/0000-0002-5044-5265КругловаЛ. С.KruglovaLarisa S.

Москва

Moscow

https://orcid.org/0000-0002-6686-4253СтенькоА. Г.StenkoAnna G.

Москва

Moscow

https://orcid.org/0000-0001-5245-0394РубцоваЛ. А.RubtsovaLyubov A.

Рубцова Любовь Алексеевна, врач-дерматовенеролог

121359, Москва, ул. Маршала Тимошенко, д. 19, строение 1А, тел.: +7 (916) 178-93-84

Moscow

lubovrubtz@gmail.comhttps://orcid.org/0000-0002-3190-7460КругловаМ. С.KruglovaMariya S.

Москва

Moscow

ЦГМА УДП РФРоссияCentral State Medical Academy of Department of Presidential AffairsRussian FederationЦГМА УДП РФ; Институт пластической хирургии и косметологииРоссияCentral State Medical Academy of Department of Presidential Affairs; Institute of Plastic Surgery and CosmetologyRussian FederationПервый МГМУ им. И.М. Сеченова (Сеченовский Университет)РоссияSechenov First Moscow State Medical UniversityRussian Federation202431102024235329335Copyright © Круглова Л.С., Стенько А.Г., Рубцова Л.А., Круглова М.С., 20242024Круглова Л.С., Стенько А.Г., Рубцова Л.А., Круглова М.С.Kruglova L.S., Stenko A.G., Rubtsova L.A., Kruglova M.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/3605

Обоснование. Постожоговые рубцовые деформации — широко распространенное состояние среди пациентов педиатрического профиля. Образование патологических рубцов является неоспоримым показанием к консервативному или хирургическому лечению больных детского возраста, продолжающих расти и развиваться после разрешения ожоговых повреждений. Такие поражения могут значительно снижать качество жизни пациентов, а также вызывать выраженный функциональный и эстетический дискомфорт. Описание клинических случаев. Представлены результаты наблюдения за двумя детьми разного возраста (2 года 7 мес и 12 лет) с формирующимися постожоговыми рубцовыми деформациями. Показана тактика успешного ведения с помощью применения физиотерапевтического комплекса, включающего в себя монополярную радиочастотную терапию в комбинации с ультразвуковой терапией, фотодинамической терапией и близкофокусной рентгенотерапией. Заключение. Актуальные тенденции в терапии постожоговых рубцовых деформаций основываются на своевременном назначении эффективных и безопасных методов уже на ранних этапах реабилитации и восстановления тканей после ожоговой травмы с целью предупреждения формирования патологического рубца и достижения контроля его активности.

Background. Post-burn scars are common among pediatric patients. Pathological scarring is clear indication for conservative or surgical management of pediatric patients who continue to grow and develop after the resolution of burn injuries. Such lesions can significantly reduce patients' quality of life and, moreover, cause significant functional and aesthetic discomfort. Clinical cases description. The results of observation over two children (2 years 7 months and 12 years) with developing post-burn scars are demonstrated. Successful management method using physiotherapeutic complex (including monopolar radiofrequency treatment combined with ultrasound therapy, photodynamic therapy, and close-focus X-ray therapy) is presented. Conclusion. Modern trends in post-burn scars management are based on timely implementation of effective and safe methods early on rehabilitation stages and tissue restoration after burn injury to prevent pathological scarring and achieve control over its activity.

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The authors declare that there are no conflicts of interest present.