Burn Injuries in Epileptic Patients: A 10-year Review from a Single Center in Istanbul, Türkiye
Turkish Journal of Plastic Surgery, cilt.33, sa.4, ss.170-173, 2025 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 4
- Basım Tarihi: 2025
- Doi Numarası: 10.4103/tjps.tjps_37_25
- Dergi Adı: Turkish Journal of Plastic Surgery
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Directory of Open Access Journals
- Sayfa Sayıları: ss.170-173
- Anahtar Kelimeler: Burn reconstruction, epilepsy, epileptic burns, risk factors, seizure-related trauma, seizures
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aims: Epilepsy is a severe neurological dysfunction characterized by recurrent seizures accompanied by loss of consciousness. Burn injuries occurring in epilepsy patients are often deep burns due to the loss of consciousness during seizures. In this study, epileptic burn patients, the treatment process, and possible preventive measures were evaluated. Subjects and Methods: A total of 65 patients who presented with burn injuries occurring during epileptic seizures at the Burn Center of Dr. Lutfi Kırdar City Hospital between January 2015 and January 2025 were included in the study. The patients’ mean age, gender, average follow-up periods, burn degrees, burn percentages, causes of burns, and treatment modalities were evaluated retrospectively. Results: Among the 65 patients, 22 were male (33.82%), and 43 were female (66.18%), with a mean age of 46.9 years. The average follow-up period was 73.08 days, and the mean total body surface area burned was 8.22%. Only 3.1% of the injuries were first-degree burns, while 40% were second-degree burns, and 56.9% were third-degree burns. The most common burn site was the right hand (27.9%). Scald burns were the most frequent type, observed in 53.8% of the cases. A total of 58 (89.2%) patients were followed with hospitalization. The most commonly performed surgical procedure was escharotomy and repair with split-thickness skin grafting (69.2%). Conclusions: Burns resulting from epileptic seizures are often deep and full-thickness burns, and treatment frequently involves the use of dermal matrices, negative pressure wound therapy, and reconstruction with grafts. Early detection of these burns, as well as timely debridement and reconstruction, is recommended.