PMID: 7023795Apr 1, 1981Paper

Resurfacing the burned face

Clinics in Plastic Surgery
R L Warpeha

Abstract

Facial burns cause deformities through the permanent effects of wound contracture and scar hypertrophy; they are related to the depth of the burn. The depth of an acute burn can be accurately ascertained only by observation over a period of time. Facial skin burns that do not heal by three weeks are subject to increasingly permanent deformity with the passage of time. The best defense against wound contraction and hypertrophic scar is early and complete wound closure. Early and late grafting must be completely successful in "take" to avoid unsightly irregular scarring; therefore, the receptor bed must be meticulously prepared for optimal take. Both early and late grafts are patches that flatten normal contour. However, if the skin graft conforms to a position in the facial mosaic (aesthetic unit of the face), or some subunit that is harmonious with normal facial lines, the patch of proper color can give a more aesthetic result. Nonreproducible anatomical structures such as the margins of the lids, lips, and nostrils should be preserved whenever found to be normal or only partially destroyed. To minimize the distorting effects of wound contracture, pressure therapy of the face and neck, as well as the positional splinting of the...Continue Reading

Citations

Mar 19, 2005·Burns : Journal of the International Society for Burn Injuries·Matthew B KleinNicole S Gibran
Oct 16, 2001·Burns : Journal of the International Society for Burn Injuries·C AcikelE Ulkur
Feb 9, 2002·Burns : Journal of the International Society for Burn Injuries·Apostolos D MandrekasAnastasios Anastasopoulos

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