Versatility of dermal regeneration templates in the treatment of burn sequelae

Ribeiro, Luís Mata; Serras, Rafaela Pais; Brito, Íris M; Guerra, Anabela; Maria, Nuno; Bexiga, Joaquim; Mendes, Maria Manuel

doi:10.1007/s00238-018-1446-8

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…Dermal regeneration templates can be used after contracture release, 31,32 and a thin autograft can be applied after 3 weeks. Dermal substitutes are unforgiving and should be placed on a well-vascularized, noninfected bed after perfect hemostasis.…”

Section: Reconstruction Of Specific Areasmentioning

confidence: 99%

“…We use the quilting technique and a tie-over dressing. The tie-over dressings are replaced with a custom-made splint worn over the dressing after Dermal regeneration templates can be used after contracture release, 31,32 and a thin autograft can be applied after 3 weeks. Dermal substitutes are unforgiving and should be placed on a wellvascularized, noninfected bed after perfect hemostasis.…”

Section: Ementioning

confidence: 99%

“…The advantage is that the graft contracture is less, the cervicomental angle is well maintained, and the skin texture is pliable. 26,27,31,32 We preferably use this in children, who tend to form keloids. Because only a thin split skin graft is used with this technique, the risk of keloids in the donor area is reduced.…”

Section: Ementioning

confidence: 99%

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Postburn Reconstruction of the Face and Neck

Sabapathy¹,

Shanmugakrishnan²,

Ramkumar³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Understand the cardinal principles in the management of postburn deformities in the face and neck. 2. Understand reconstruction of specific subsites in the face and neck affected by burn contracture. 3. Acquire knowledge about the various techniques of burn reconstruction of the face and neck. 4. Grasp technical nuances and select appropriate surgical options for individual cases. Summary: Postburn contractures in the face and neck region are multifactorial in origin and difficult to prevent in extensive burns. Facial burns lead to distortion of anatomical landmarks, causing aesthetic, functional, and psychological problems. Each subunit of the face is unique in structure; thus, the surgeon needs to adjust the timing of surgery and the technique according to region and the severity of contracture. Contracture of one unit, especially that of the neck and forehead, can exaggerate the contracture in neighboring subunits. The role of these extrinsic influences must be considered while sequencing surgical procedures. The burn surgeon must be adept in all reconstructive surgery techniques from skin grafting to tissue expanders to microsurgery to obtain the best outcomes. Surgery must be followed up with long-term physical therapy and psychological rehabilitation to help burn survivors with head and neck contractures to integrate back into society.

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Section: Reconstruction Of Specific Areasmentioning

confidence: 99%

Section: Ementioning

confidence: 99%