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Principles of burn reconstruction: Face, scalp, and neck

Authors
Jorge Leon-Villapalos, MD, FRCS
Peter Dziewulski, MD, FRCS
Section Editor
Marc G Jeschke, MD, PhD
Deputy Editor
Kathryn A Collins, MD, PhD, FACS

INTRODUCTION

The goals of reconstructive surgery for the burn patient are first to restore function, then to restore esthetic 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 [1].

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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Literature review current through: Nov 2016. | This topic last updated: Wed Mar 11 00:00:00 GMT+00:00 2015.
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