A novel therapeutic technique using dynamic taping to manage ectropion following severe facial burns in children.
Claire Toose1, Stephanie Wicks1, Rhianydd Thomas1, 1The Children’s Hospital At Westmead, Westmead, NSW, Australia
Abstract
Background
Paediatric facial burns are known to be a challenge for therapists. The complexities of managing burns around the periorbital region has prompted therapists to explore novel techniques to treat emerging ectropion during the acute phase.
Methods
Kinesio Tape (dynamic therapeutic tape) is applied to the forehead and chin to create uplift of soft tissue to reduce skin tension and facilitate active and passive eye closure, while leaving the eye clear of any adhesive products. Tape is applied to the secondary dressing, avoiding any contact with wound or fragile tissue. This enables initiation of treatment in the early stages of ectropion development to optimise outcomes. Following closure, the technique can be continued over hydrocolloid dressing to reduce the effects of mechanotransduction on developing scar tissue and manage ectropion in subacute phase. A case series of early experiences using this technique in children of varied ages will be presented.
Results
Three children with severe facial burns were managed using this technique. All have 100% eye closure at scar maturation. No child developed corneal abrasion or ulcers subsequent to their initial injury and the need for eye lubrication was reduced. No child has undergone surgical release for ectropion or has required ongoing eye care regime to address complications of ectropion such as dry eye or conjunctivitis.
Conclusion
This technique has shown promising results in management of ectropion in children and has integrated into standard acute care at the Children’s Hospital at Westmead.
Biography
Claire has worked as paediatric burn therapist for over 15 years, involved in clinical practice as well as research, education and advocacy. She is accredited as a certified Burn Therapist by the American Burn Association.