Limits...
A multi-staged approach to the reconstruction of a burnt Asian face.

Joethy J, Tan BK - Indian J Plast Surg (2011)

Bottom Line: This article describes the management of chemical burns to the Asian face with resultant full thickness loss to the right side of the face including the eyelid and nose.We detail the techniques used to reconstruct the face which include skin grafting according to the aesthetic units of the face, accurate placement of junction lines, use of a chondrocutaneous graft to reconstruct the alar grove and scalp strip grafting for eyebrow reconstruction.We obtained a successful result that minimised scar formation in the burnt Asian face.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.

ABSTRACT
This article describes the management of chemical burns to the Asian face with resultant full thickness loss to the right side of the face including the eyelid and nose. We detail the techniques used to reconstruct the face which include skin grafting according to the aesthetic units of the face, accurate placement of junction lines, use of a chondrocutaneous graft to reconstruct the alar grove and scalp strip grafting for eyebrow reconstruction. We obtained a successful result that minimised scar formation in the burnt Asian face.

No MeSH data available.


Related in: MedlinePlus

Postdebridement - showing healthy granulation tissue prior to grafting
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3111108&req=5

Figure 1: Postdebridement - showing healthy granulation tissue prior to grafting

Mentions: A 24-year-old male was injured with acid over his face and scalp. A single thorough wound debridement was performed involving sharp excision of burned skin down to dermis and fat [Figure 1]. At the orbicularis occuli, we excised down to muscle. Skin cover was planned as follows: the best skin was harvested for the most critical areas and injured areas were prioritised (in decreasing order of importance) as the eyelids, the nose, the cheeks, the preauricular area and the forehead.[2] For the eyelids, full thickness skin from the supraclavicular area was harvested. For the nose and cheek, skin was harvested from the scalp. Before harvesting, the scalp was infiltrated with 1L of saline to balloon up the scalp. This increased the surface area and allowed us to use the 4” air dermatome to obtain large sheet grafts. Hair that was stuck to the scalp grafts was removed to prevent it from acting as a foreign body. The donor scalp defect was secondarily grafted with meshed skin grafts to allow subsequent hair growth. For the forehead and preauricular area, skin from the thigh was used with acceptable skin match [Figure 2].


A multi-staged approach to the reconstruction of a burnt Asian face.

Joethy J, Tan BK - Indian J Plast Surg (2011)

Postdebridement - showing healthy granulation tissue prior to grafting
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3111108&req=5

Figure 1: Postdebridement - showing healthy granulation tissue prior to grafting
Mentions: A 24-year-old male was injured with acid over his face and scalp. A single thorough wound debridement was performed involving sharp excision of burned skin down to dermis and fat [Figure 1]. At the orbicularis occuli, we excised down to muscle. Skin cover was planned as follows: the best skin was harvested for the most critical areas and injured areas were prioritised (in decreasing order of importance) as the eyelids, the nose, the cheeks, the preauricular area and the forehead.[2] For the eyelids, full thickness skin from the supraclavicular area was harvested. For the nose and cheek, skin was harvested from the scalp. Before harvesting, the scalp was infiltrated with 1L of saline to balloon up the scalp. This increased the surface area and allowed us to use the 4” air dermatome to obtain large sheet grafts. Hair that was stuck to the scalp grafts was removed to prevent it from acting as a foreign body. The donor scalp defect was secondarily grafted with meshed skin grafts to allow subsequent hair growth. For the forehead and preauricular area, skin from the thigh was used with acceptable skin match [Figure 2].

Bottom Line: This article describes the management of chemical burns to the Asian face with resultant full thickness loss to the right side of the face including the eyelid and nose.We detail the techniques used to reconstruct the face which include skin grafting according to the aesthetic units of the face, accurate placement of junction lines, use of a chondrocutaneous graft to reconstruct the alar grove and scalp strip grafting for eyebrow reconstruction.We obtained a successful result that minimised scar formation in the burnt Asian face.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.

ABSTRACT
This article describes the management of chemical burns to the Asian face with resultant full thickness loss to the right side of the face including the eyelid and nose. We detail the techniques used to reconstruct the face which include skin grafting according to the aesthetic units of the face, accurate placement of junction lines, use of a chondrocutaneous graft to reconstruct the alar grove and scalp strip grafting for eyebrow reconstruction. We obtained a successful result that minimised scar formation in the burnt Asian face.

No MeSH data available.


Related in: MedlinePlus