Management of postburn contracture of the neck

Nath, Samir Ranjan; Erzingatsian, Krikor; Simonde, S.

doi:10.1016/0305-4179(94)90038-8

Cited by 26 publications

(8 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The hospital stay for Nath's [23] patients who had been skin grafted varied from 1-3 weeks. Jain [8] discharged the patient from the hospital on an average on the 11 th post operative day.…”

Section: Discussionmentioning

confidence: 99%

“…We assessed function after rehabilitation 6 months postoperatively by the range of motion and also determined the aesthetic results by the presence of colour match and absence of hypertrophy [Table/ Fig-38]. Function and cosmesis were the criteria also used by Nath [23] to determine the outcome of surgery. The former was evaluated in reference to the neck movements and the latter was defined as the appearance of the graft by its colour and texture.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Post Burn Contracture Neck: Clinical Profile and Management

Mody

Bankar

Patil

2014

JCDR

View full text Add to dashboard Cite

Background: Morbidity related to hypertrophic scars and contractures which are well known sequel after burns remains high and in fact has increased as more severely burned patients are surviving. This study was undertaken in order to assess the varied clinical presentation, precipitating factors, preventive measures, treatment modalities of neck contractures and evaluate the results after surgical procedures.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Post Burn Contracture Neck: Clinical Profile and Management

Mody

Bankar

Patil

2014

JCDR

View full text Add to dashboard Cite

show abstract

“…Severe post-burn neck contracture often causes insufficient neck extension, incomplete oral occlusion, and insufficient mouth opening [2,3]. All these restrictions of movement compromise access to the airway.…”

Section: Introductionmentioning

confidence: 99%

Severe post-burn neck contracture release and skin graft harvest using tumescent local anaesthesia as the sole anesthetic technique

et al. 2011

View full text Add to dashboard Cite

Severe post-burn contractures in the neck often cause anatomical distortion and restriction of neck movements, resulting in varying degrees of difficulty in airway management. Any mode of anesthesia that may obviate the need for imperative airway control may be desirable in such situations in which a difficult airway may be anticipated. Here we present one such situation where tumescent local anesthesia was employed to manage a case of severe post-burn neck contractures posted for contracture release and split-skin grafting. The other benefits of this method were minimal blood loss and excellent postoperative analgesia. In conclusion, it can be emphasized that the application of tumescent anesthesia is an important anesthetic tool in patients with predicted difficult airway management.

show abstract

“…Many different surgeries have been described for the repair of neck defects. Most commonly used techniques are full/split thickness skin grafting, Z-Plasties, local flaps and free flaps 2,3 . Recently, perforator flaps and their combinations have been frequently used for reconstruction of large skin-soft tissue defects.…”

Section: Introductionmentioning

confidence: 99%

Boyun defektlerinin preekspanse oksipito-serviko-dorsal ada flepleri ile onarımı

Eser¹,

Olguner²,

Sabancıoğularından³

et al. 2016

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

View full text Add to dashboard Cite

ÖzPurpose: Neck defects usually occur after burn contracture release and benign or malignant neck tumor excisions. Frequently used neck skin reconstruction methods are skin grafting, Z-Plasties, skin pedicled or perforator flaps, and free flaps. Pre-expanded perforator skin flaps are useful options for skin defect reconstructions. Pre-expansion of the skin flap provides more tissue for the reconstruction and donor area closure. Additionally, defect reconstructions used by adjacent skin maintain a good tissue colour and texture match with the defect. Material and Methods: In this study, 8 patients (neck burn contracture release (n=7) and congenital giant hairy nevus excision (n=1)) whose neck defects were reconstructed with 11 pre-expanded occipito-cervicodorsal perforator island flaps were evaluated. The maximum and minimum flap sizes were 9x23 cm and 5x13 cm respectively. Mean age of the patients was 15.8 and mean expansion time was 11.5 weeks. Results: Mean follow-up time was 27.8 months. We encountered an expander exposition in one case and 50% flap necrosis in another case. Aesthetic and functional improvement was observed in all patients. Conclusion: The pre-expanded occipito-cervico-dorsal perforator island flap is useful in moderate sized lateral neck defects. The aforementioned flap provides good tissue compliance and colour with neck and minimal donor area morbidity. It is a new useful reconstructive method in patients with lateral neck defects, who have a healthy cervico-dorsal skin and do not have useful ventral skin. Amaç: Boyun cildi defektleri genellikle kontraktür sebestleştirilmesi veya malign/benign tümör eksizyonu sonrası meydana gelir. Sık kullanılan boyun cilt rekonstrüksiyon yöntemleri Z-plastiler, cilt pediküllü veya perforatör flepler ve serbest fleplerdir. Bunlara ek olarak son zamanlarda pre-ekspanse perforator cilt flepleri cilt defekt rekonstrüksiyonlarında sıkça kullanılmaktadır. Cilt fleplerinin ekspansiyonu rekonstrüksiyon ve donor alan onarımı için daha fazla doku sağlar. Ayrıca defektlerin yakın doku ile rekonstrüksiyonu, renk ve yapı uyumu açısından iyi sonuçlar verir. Gereç ve Yöntem: Bu çalışmada 7'si boyun kontraktür açılması sonrası ve 1'i konjenital dev kıllı nevus eksizyonu olmak üzere boyunda cilt defekti olan 8 hasta değerlendirildi. Tüm defektlere toplam 11 adet preekspanse oksipito-serviko-dorsal ada flebi ile onarım uygulandı. En geniş flep boyutu 9x23 cm iken en küçük flep boyutu 5x13 cm idi. Ortalama hasta yaşı 15.8 idi ve ortalama ekspansiyon zamanı 11.5 hafta idi. Bulgular: Hastalar ortalama 27,8 ay takip edildi. bir hastada doku genişletici ekspozisyonu oluşurken başka bir hastada %50 flep nekrozu görüldü. Tüm hastalarda estetik ve fonksiyonel sonuçlar kabul edilebilir seviyelerdeydi. Sonuç: Preekspanse oksipito-serviko-dorsal flep, orta büyüklükteki boyun defektlerinde kullanılabilecek uygun bir rekonstrüksiyon seçeneğidir. Tanımlanan flep, özellikle ön servikal ve torakal cildi uygun olmayan ve dorsal serviko-dorsal cildi sağlam olan hastalarda uygulanabilecek ye...

show abstract

Management of postburn contracture of the neck

Cited by 26 publications

References 2 publications

Post Burn Contracture Neck: Clinical Profile and Management

Post Burn Contracture Neck: Clinical Profile and Management

Severe post-burn neck contracture release and skin graft harvest using tumescent local anaesthesia as the sole anesthetic technique

Boyun defektlerinin preekspanse oksipito-serviko-dorsal ada flepleri ile onarımı

Contact Info

Product

Resources

About