Cuenca-Pardo J, Luján-Olivar F, Campos-Jiménez M, Escalona-Mancilla A

Language: Spanish
References: 23
Page: 9-16
PDF size: 817.15 Kb.

ABSTRACT

Burns on the face can produce severe defects difficult to reconstruct. Tissue expansion has been widely used, with many complications and unsatisfactory results. Over a period of seven years, in the Burn Unit at the Trauma Medical Units «Dr. Victorio de la Fuente Narváez», at the Mexican Institute of Social Security, 77 patients were treated with scars secondary to burns, located in the neck and face, using the following strategy: to place the expander, we made cuts on either edge of the distance from the area of the defect; small pockets, small implants, implant overexpansion 4-6 times; incised flap with angled incisions inward and at its base. We achieved in 85% complete resection of the defect in one surgery, complications occurred in 12.9%, with implant exposure and seromas. This strategy is safe, simple and effective and allows us to reconstruct the neck and face with thin tissue of similar features, with good aesthetic and functional results with minimal complications.

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