Head and neck burns. Evaluation and current management

Archives of Otolaryngology--head & Neck Surgery
J D Osguthorpe

Abstract

More than half of the 150,000 burn patients hospitalized in the United States each year have head and neck involvement, with 3% to 7% sustaining concomitant inhalation injury. With advances in fluid replacement therapy and specialized burn care units, mortality has fallen from near 100% to 24% for burns of 75% to 90% of body surface area. The most common causes of death are respiratory complications and sepsis. Inhalation injuries can be diagnosed by laryngoscopy, and compromised airways can then be intubated (with tracheotomy for long-term management) and sloughing mucosa and inspissated mucus removed by serial bronchoscopy. Sepsis is minimized by early excision of burn eschar and autografting or, in the widely burned, temporary coverage with cadaver allograft, porcine xerograft, or skin substitutes until successive crops of autografts are available. The head and neck presents substantial reconstructive and rehabilitative challenges, which must be addressed in aesthetic units.

Citations

Dec 12, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Roozbeh SadrimaneshAshkan Rashad
Feb 11, 2016·Clinical Case Reports·Fushun Ma
Jun 25, 2013·Nanomedicine : Nanotechnology, Biology, and Medicine·Leila NayyerGavin Jell
May 18, 2012·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Dennis Flanagan
Nov 1, 1993·Gastrointestinal Endoscopy·G G Ginsberg, T O Lipman
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