title: [Contribution of the physical and rehabilitation medicine in pediatric plastic surgery].
abstract: Physical, non-painful processes guide the scar reshaping in children in order to prevent growth anomalies due to cutaneous shrinkage. The objective of the surgical treatment, coordinated with the reeducation care, is to improve the physical abilities of the skin, to restore the function and avoid the deformations. Reeducation uses various techniques (i.e. sensitive-motility, massage and mobilizations) with or without physical agent (water, aspiration and touch-drive technique). Posture and positioning rely on the small or major aids, from orthosis to prosthesis. Compression is obtained by the adjustment of aids on molding and compression garment. Indications of the reeducation treatment depend on the timing of cutaneous covering and the advance of the healing process. It also depends on the underlying condition including skin traumas (frictions, wounds, burns), skin surgeries (purpura fulminans consequences, skin graft reconstruction after giant nevus resection, malignant lesion or vascular malformations). The final goal is the rehabilitation and development of the child and the adolescent in its entire somatopsychic dimension.
authors: Service de médecine physique et réadaptation, centre Marc-Sautelet, 59650 Villeneuve d'Ascq, France.
authors: L
authors: L
authors: Gottrand
authors: Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU de Lille, rue Emile-Laine, 59037 Lille, France. Electronic address: florent.devinck@gmail.com.
authors: F
authors: F
authors: Devinck
authors: Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU de Lille, rue Emile-Laine, 59037 Lille, France.
authors: V
authors: V
authors: Martinot Duquennoy
authors: Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU de Lille, rue Emile-Laine, 59037 Lille, France.
authors: P
authors: P
authors: Guerreschi
mesh_terms: D002056:Burns / Q000150:complications; D002648:Child; D002921:Cicatrix / Q000209:etiology / Q000534:rehabilitation*; D003286:Contracture / Q000209:etiology / Q000534:rehabilitation; D006801:Humans; D009508:Nevus, Pigmented / Q000150:complications / Q000601:surgery; D059408:Pain Management; D026741:Physical Therapy Modalities; D055665:Purpura Fulminans / Q000628:therapy; D012878:Skin Neoplasms / Q000150:complications / Q000601:surgery; D012879:Skin Physiological Phenomena; D014652:Vascular Diseases / Q000150:complications / Q000601:surgery
keywords: Chirurgie plastique; Cicatrice; Médecine physique et réadaptation; Peau; Pediatrics; Physical and rehabilitation medicine; Plastic surgery; Pédiatrie; Scar; Sequelae; Skin; Séquelles