<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922023000400014</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922023000400014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Las redes sociales: nuevos desafíos en el tratamiento del niño quemado]]></article-title>
<article-title xml:lang="en"><![CDATA[Social media: new challenges in pediatric burn treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gryngras]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manaro]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalario Pereira Rossell Unidad del Niño Quemado, Cirugía Reparadora y Malformaciones ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalario Pereira Rossell Unidad del Niño Quemado, Cirugía Reparadora y Malformaciones ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>49</volume>
<numero>4</numero>
<fpage>399</fpage>
<lpage>408</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922023000400014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922023000400014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922023000400014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. El uso de las redes sociales está ampliamente difundido en los adolescentes y es sin duda una de las formas más comunes de vinculación social con sus pares. La información e imágenes utilizadas para construir el perfil se seleccionan para favorecer lo que se quiere mostrar de cada uno. Las secuelas estéticas del paciente quemado tradicionalmente han sido motivo de preocupación para el cirujano plástico. El amplio uso de las redes sociales ha aumentado notablemente la exposición física, por lo tanto, nos preguntamos cómo influyen las secuelas visibles de las quemaduras en esta forma de relación entre adolescentes.  Material y método. Identificamos los niños quemados asistidos en el centro de referencia para el tratamiento de quemaduras pediátricas de Uruguay (UNIQUER) entre 2015 y 2022 con lesiones de gravedad funcional o vital. Seleccionamos aquellos que en el momento de realizar este estudio tuvieran 10 o más años de edad. Confeccionamos un cuestionario digital (Google Forms) que enviamos por mensajería instantánea (Whatsapp) previa autorización de un adulto responsable, y analizamos los datos recuperados.  Resultados. Reunimos 51 pacientes que cumplieron los criterios de inclusión, de los cuales logramos contactar con 32 y obtuvimos 22 respuestas al cuestionario, con edades entre 10 y 19 años. Todos presentaban cicatrices: 9 en cara o cuello (40.9%) y 9 en manos (40.9 %); el resto en zonas menos visibles. De ellos, 17 (77.3 %) requirieron autoinjertos en el episodio agudo y 7 (31.8%) cirugías para tratamiento de secuelas. Encontramos 21 niños (95.4%) que utilizaban al menos una red social. En orden decreciente de frecuencia, la más utilizada era Whatsapp (17, 81%), Tik Tok (13, 61.9%), Instagram (9, 42.9%), Facebook (5, 23.8%), Twitter (3, 14.3%) y otra (3, 14.3%). Además, 18 niños (85.7%) no posteaban fotos con sus cicatrices y 5 (23.8%) utilizaban efectos siempre o algunas veces para disimular sus cicatrices en redes. Del total,12 pacientes (54.5%) refirieron haber sentido discriminación por sus cicatrices y 9 (40.9 %) habían sido víctimas de acoso escolar (bullying); 14 (63.6 %) estarían interesados en participar en campañas para prevenir la discriminación de personas con cicatrices.  Conclusiones. A pesar del bajo número de casos del estudio, concluimos que los pacientes con secuelas de quemaduras en el rango de edad estudiado utilizan ampliamente las redes sociales, siendo Whatsapp la más empleada, ocultan sus cicatrices en redes o emplean filtros para disimularlas. Más de la mitad se sienten discriminados por sus cicatrices sin importar localización y algunos fueron víctimas de acoso escolar. Es fundamental enfatizar en la educación de la población para prevenir situaciones de violencia hacia personas con diferencias visibles, en particular aquellos con estigma de quemaduras.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Social media is widely used by teenagers, in fact, it represents one of the main means of communication between them. The images used to construct a profile are specially selected in order to show only what they want to share about themselves. Aesthetic sequelae after burns have traditionally been a concern for reconstructive surgeons. We would like to find out if visible sequelae influence the way these patients interact with social media given the vast physical exposure that they include.  Methods. Burned children with severe vital o functional injuries treated between 2015 and 2022 in the national reference center for pediatric burn treatment in Uruguay (UNIQUER) were identified. Those aged 10 or above were selected. We designed a digi-tal form (Google Forms) that was sent by instant messaging (Whatsapp) to the selected population with an adult previous authorization and we analyzed the collected data.  Results. Fifty-one patients met the inclusion criteria, we contacted 32 and obtained 22 responses to the questionnaire; patients aged between 10 and 19 years. All had scars: 9 in face or neck (40.9%) and 9 in hands (40.9 %). The rest of the scars were in less visible places. Of them, 17 (77.3%) required autografts in the acute episode and 7 (31.8%) required surgeries to treat sequelae. We found 21 children (95.4%) who used at least one social network.The most used was Whatsapp (17,81%), Tik Tok (13,61.9%), Instagram (9,42.9%), Facebook (5,23.8%), Twitter (3,14.3%) and other (3,14.3%). Furthermore, 18 children (85.7%) do not post photos with their scars and 5 (23.8%) always or sometimes used effects to hide their scars on social networks. Of the total, 12 patients (54.5%) reported having felt discrimination because of their scars and 9 (40.9%) had been victims of bullying; 14 (63.6%) would be interested in participating in campaigns to prevent discrimination against people with scars  Conclusions. Despite the low number of cases in our study, we conclude that patients with burn sequelae in the age range studied widely use social networks, Whatsapp being the most used, they hide their scars on networks or use filters to disguise them. More than half feel discriminated because of their scars regardless of location, and some were victims of bullying at school. It is essential to emphasize the education of the popu-lation to prevent situations of violence towards people with visible differences, particularly those with burn stigma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Redes Sociales]]></kwd>
<kwd lng="es"><![CDATA[Quemaduras]]></kwd>
<kwd lng="es"><![CDATA[Adolescentes]]></kwd>
<kwd lng="es"><![CDATA[Secuelas]]></kwd>
<kwd lng="es"><![CDATA[Cicatrices]]></kwd>
<kwd lng="en"><![CDATA[Social Media]]></kwd>
<kwd lng="en"><![CDATA[Burns]]></kwd>
<kwd lng="en"><![CDATA[Teenagers]]></kwd>
<kwd lng="en"><![CDATA[Sequelae]]></kwd>
<kwd lng="en"><![CDATA[Scars]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Del Prete]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Redon Pantoja]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Las redes sociales on-line: Espacios de socialización y definición de entidad]]></article-title>
<source><![CDATA[Psicoperspectivas]]></source>
<year>2020</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>86-96</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>Gub.uy</collab>
<source><![CDATA[Instituto Nacional de Estadística del Uruguay]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cartwright]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Saret]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Shapiro]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
<name>
<surname><![CDATA[Ni]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Sheridan]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Marino]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Acton]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kazis]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Ryan]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burn survivors injured as children exhibit resilience in long-term community integration outcomes: A life impact burn recovery evaluation (LIBRE) study]]></article-title>
<source><![CDATA[Burns: Journal of the International Society for Burn Injuries]]></source>
<year>2019</year>
<volume>45</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1031-40</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giordano]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[CE Original research: The lived experience of social media by young adult burn survivors]]></article-title>
<source><![CDATA[The Am J of Nursing]]></source>
<year>2016</year>
<volume>116</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>24-32</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Domic Cardenas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Paredes Mayor]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<collab>COANIQUEM</collab>
<article-title xml:lang=""><![CDATA[Prevención de quemaduras infantiles en tiempos de pandemia: una campaña virtual e interactiva]]></article-title>
<source><![CDATA[Horizonte de Enfermeria]]></source>
<year>2021</year>
<volume>32</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>212-22</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burgess]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Watt]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kimble]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Cameron]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Combining technology and research to prevent scald injuries (the Cool Runnings intervention): Randomized controlled trial]]></article-title>
<source><![CDATA[J. of Med Internet Res]]></source>
<year>2018</year>
<volume>20</volume>
<numero>10</numero>
<issue>10</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[del Barrio Fernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz Fernández]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Los adolescentes y el uso de las redes sociales. Revista INFAD De Psicología]]></article-title>
<source><![CDATA[Int J of Develop and Edu Psychol]]></source>
<year>2014</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>571-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Byrnes]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[McGarry]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rea]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Wood]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Social challenges of visible scarring after severe burn: A qualitative analysis]]></article-title>
<source><![CDATA[Burns]]></source>
<year>2017</year>
<volume>43</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>76-83</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rimmer]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Foster]]></surname>
<given-names><![CDATA[KN]]></given-names>
</name>
<name>
<surname><![CDATA[Bay]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Floros]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rutter]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bosch]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Wadsworth]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Caruso]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The reported effects of bullying on burn-surviving children]]></article-title>
<source><![CDATA[J. of Burn Care &amp; Res]]></source>
<year>2007</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>484-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
