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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

Appearance after 1st stage reconstruction showing missing right eyebrow and absence of anterior half of scalp
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Figure 3: Appearance after 1st stage reconstruction showing missing right eyebrow and absence of anterior half of scalp

Mentions: With excellent graft take, stitches were removed on the eighth postoperative day and the patient was discharged. At our patient's first year visit, he had a missing right eyebrow and half his anterior scalp was absent [Figure 3]. Two tissue expanders were inserted (500 and 700 ml) to restore hair-bearing scalp to the temporal and parietal areas [Figure 4]. Tissue expansion with two opposing expanders was used over a 6-month period. The tissue expanders were inserted through remote incisions to reduce the risk of wound dehiscence and scar stretch during expansion. The patient was advised to sleep upright and to avoid pressure on the expanders. At the time of expander removal and scalp flap inset, the galea was scored to allow us to cover the required area.


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

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

Appearance after 1st stage reconstruction showing missing right eyebrow and absence of anterior half of scalp
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Appearance after 1st stage reconstruction showing missing right eyebrow and absence of anterior half of scalp
Mentions: With excellent graft take, stitches were removed on the eighth postoperative day and the patient was discharged. At our patient's first year visit, he had a missing right eyebrow and half his anterior scalp was absent [Figure 3]. Two tissue expanders were inserted (500 and 700 ml) to restore hair-bearing scalp to the temporal and parietal areas [Figure 4]. Tissue expansion with two opposing expanders was used over a 6-month period. The tissue expanders were inserted through remote incisions to reduce the risk of wound dehiscence and scar stretch during expansion. The patient was advised to sleep upright and to avoid pressure on the expanders. At the time of expander removal and scalp flap inset, the galea was scored to allow us to cover the required area.

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