title: Multidisciplinary care in severe pediatric electrical oral burn.
abstract: Oral burns in pediatric patient are commonly due to electrical injuries, representing an important reconstructive issue even for functional than esthetic reason. Different classification, surgical management and even oral device were described to allow the best long-term result. In most case a multidisciplinary approach is necessary to achieve a satisfactory outcome. A severe case of pediatric oral burn with germinative teeth damage is presented, describing a multispecialist team approach that guarantee a satisfactory outcome by reconstructive surgery, careful progressive evaluation of dental and soft tissue healing and speech recovery. The use of acellular dermal substitute template within traditional reconstructive surgery had provided a good functional and esthetic result joint to valid preservation of germinative dental element as shown at long-term X-ray evaluation. Intensive rehabilitation speech program has also avoided phonetic impairment in an important speech develop period. It was so evident that the necessity of a multispecialist care in such difficult injury to achieve the best long-term result.
authors.affiliation: Department of Neurosensorial Specialties, Institute of Plastic Reconstructive Surgery and Burn Unit - Padova University Hospital, Italy. Electronic address: alex.pontini@sanita.padova.it.
authors.forename: A
authors.initials: A
authors.lastname: Pontini
authors.affiliation: Department of Neurosensorial Specialties, Institute of Plastic Reconstructive Surgery and Burn Unit - Padova University Hospital, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Reho
authors.affiliation: Department of Neurosensorial Specialties, Institute of Plastic Reconstructive Surgery and Burn Unit - Padova University Hospital, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Giatsidis
authors.affiliation: Department of Odontostomatology, Oral Surgery Service - Padova University Hospital, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Bacci
authors.affiliation: Department of Neurosensorial Specialties, Institute of Plastic Reconstructive Surgery and Burn Unit - Padova University Hospital, Italy.
authors.forename: B
authors.initials: B
authors.lastname: Azzena
authors.affiliation: Department of Neurosensorial Specialties, Institute of Plastic Reconstructive Surgery and Burn Unit - Padova University Hospital, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Tiengo
mesh_terms: D002058:Burns, Electric / Q000601:surgery*; D002610:Cheek / Q000293:injuries / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery*; D005260:Female; D005881:Gingiva / Q000293:injuries / Q000601:surgery; D006801:Humans; D007223:Infant; D008046:Lip / Q000293:injuries / Q000601:surgery; D009055:Mouth / Q000293:injuries / Q000601:surgery*; D010348:Patient Care Team; D019651:Plastic Surgery Procedures / Q000379:methods*; D017768:Skin, Artificial; D013060:Speech; D014059:Tongue / Q000293:injuries / Q000601:surgery
keywords: Eastlander; Electric; Integra; Oral burn; Speech; Teeth