Principles of burn reconstruction: Face, scalp, and neck
- Jorge Leon-Villapalos, MD, FRCS
Jorge Leon-Villapalos, MD, FRCS
- Consultant in Plastic Surgery and Burns
- Chelsea and Westminster Hospital, London, UK
- Peter Dziewulski, MD, FRCS
Peter Dziewulski, MD, FRCS
- Consultant in Plastic Surgery and Burns
- St. Andrews Centre for Plastic Surgery and Burns, Essex, UK
- Section Editors
- Marc G Jeschke, MD, PhD
Marc G Jeschke, MD, PhD
- Section Editor — Burn Surgery
- Director Ross Tilley Burn Centre
- Sunnybrook Health Sciences Centre
- Professor, Department of Surgery and Plastic Surgery
- University of Toronto
- Charles E Butler, MD, FACS
Charles E Butler, MD, FACS
- Section Editor — Plastic and Reconstructive Surgery
- The University of Texas, MD Anderson Cancer Center
The goals of reconstructive surgery for the burn patient are first to restore function, then to restore aesthetic appearances. Nowhere else in the body is it more important to achieve good functional reconstruction matched with perfect cosmetic appearance than in the head and neck, and specifically the face.
Following resuscitation and stabilization, management of the burn wounds becomes the next priority. The later effects of burns, which are related to loss of normal tissue and scarring, include limitation of movement, pain, disfigurement, and social embarrassment .
The following are the basic tenets for reconstruction of burns to the face, scalp, and neck regions:
●Replace like tissue with like tissue (eg, the best replacement for scalp tissue is the scalp) when possible.
●Multidisciplinary, realistic, well-timed reconstructive plan discussed with the patient.
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- BURNS TO THE FACE
- - Eyelid
- - Eyebrow
- - Eyelashes
- BURNS TO THE SCALP
- Primary goals
- Reconstruction options
- - Anterior
- - Parietal
- - Occipital
- - Vertex
- - Total or nearly total defects
- - Exposed calvarium
- - Exposed dura
- BURNS TO THE NECK
- SUMMARY AND RECOMMENDATIONS