Principles of simple to complex reconstruction and management of full-thickness head and neck burns

Aims: Reconstruction in cases of head and neck burns requires more complex approaches than other burns. The affected areas are often evaluated late in head neck burns and the functional structure of the anatomical region is not taken into consideration during the reconstruction. Subjects and Methods...

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Main Author: Cagla Cicek
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Turkish Journal of Plastic Surgery
Subjects:
Online Access:http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2023;volume=31;issue=4;spage=143;epage=149;aulast=Cicek
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author Cagla Cicek
author_facet Cagla Cicek
author_sort Cagla Cicek
collection DOAJ
description Aims: Reconstruction in cases of head and neck burns requires more complex approaches than other burns. The affected areas are often evaluated late in head neck burns and the functional structure of the anatomical region is not taken into consideration during the reconstruction. Subjects and Methods: We performed the review of 98 patients who were admitted for full-thickness head and neck burns and followed up at the Burn Center from 2016 to 2022. Demographic data (age and gender), details of the burn injuries (etiology, affected anatomical area, and percentage of the total body surface area [TBSA]), and preferred surgical interventions were examined retrospectively. Results: The mean age of the patients whose data were examined retrospectively was 27.03 (11 months–41 years). None of the patients in the present study had isolated scalp or facial burns, although all had accompanying burns to the torso and the upper or lower extremities. All patients needed a procedure that required anesthesia in the operating, and all of them underwent multiple operations or multiple procedures in a single session. Conclusion: In patients with high percentages of burnt areas to the TBSA, full-thickness scalp and facial burns are treated secondarily. Therefore, such patients consult their physicians for problems that are difficult to reconstruct in the late periods. The affected areas of full-thickness scalp and facial burns should be divided into functional and nonfunctional units, and early reconstruction should be applied in accordance with the algorithm.
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spelling doaj.art-5586dc6a36e04a4ea656fc15d4e5d4672023-10-30T12:04:53ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442023-01-0131414314910.4103/tjps.tjps_31_23Principles of simple to complex reconstruction and management of full-thickness head and neck burnsCagla CicekAims: Reconstruction in cases of head and neck burns requires more complex approaches than other burns. The affected areas are often evaluated late in head neck burns and the functional structure of the anatomical region is not taken into consideration during the reconstruction. Subjects and Methods: We performed the review of 98 patients who were admitted for full-thickness head and neck burns and followed up at the Burn Center from 2016 to 2022. Demographic data (age and gender), details of the burn injuries (etiology, affected anatomical area, and percentage of the total body surface area [TBSA]), and preferred surgical interventions were examined retrospectively. Results: The mean age of the patients whose data were examined retrospectively was 27.03 (11 months–41 years). None of the patients in the present study had isolated scalp or facial burns, although all had accompanying burns to the torso and the upper or lower extremities. All patients needed a procedure that required anesthesia in the operating, and all of them underwent multiple operations or multiple procedures in a single session. Conclusion: In patients with high percentages of burnt areas to the TBSA, full-thickness scalp and facial burns are treated secondarily. Therefore, such patients consult their physicians for problems that are difficult to reconstruct in the late periods. The affected areas of full-thickness scalp and facial burns should be divided into functional and nonfunctional units, and early reconstruction should be applied in accordance with the algorithm.http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2023;volume=31;issue=4;spage=143;epage=149;aulast=Cicekfull-thickness head and neck burnsreconstruction of head and neckrehabilitation of burns
spellingShingle Cagla Cicek
Principles of simple to complex reconstruction and management of full-thickness head and neck burns
Turkish Journal of Plastic Surgery
full-thickness head and neck burns
reconstruction of head and neck
rehabilitation of burns
title Principles of simple to complex reconstruction and management of full-thickness head and neck burns
title_full Principles of simple to complex reconstruction and management of full-thickness head and neck burns
title_fullStr Principles of simple to complex reconstruction and management of full-thickness head and neck burns
title_full_unstemmed Principles of simple to complex reconstruction and management of full-thickness head and neck burns
title_short Principles of simple to complex reconstruction and management of full-thickness head and neck burns
title_sort principles of simple to complex reconstruction and management of full thickness head and neck burns
topic full-thickness head and neck burns
reconstruction of head and neck
rehabilitation of burns
url http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2023;volume=31;issue=4;spage=143;epage=149;aulast=Cicek
work_keys_str_mv AT caglacicek principlesofsimpletocomplexreconstructionandmanagementoffullthicknessheadandneckburns