J Reconstr Microsurg 2014; 30(09): 627-634
DOI: 10.1055/s-0034-1372476
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Resurfacing Severe Facial Burn Scars: An Algorithm Based on Three Different Types of Prefabricated Expanded Flaps

Feng Xie
1   Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
*   They contributed equally to this work
,
Hainan Zhu
1   Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
*   They contributed equally to this work
,
Bin Gu
1   Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
,
Tao Zan
1   Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
,
Kai Liu
1   Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
,
Qingfeng Li
1   Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
› Author Affiliations
Further Information

Publication History

14 October 2013

19 January 2014

Publication Date:
15 July 2014 (online)

Abstract

Background In the reconstruction of facial burn scars, large, thin, color-matching flaps are desirable due to aesthetic and functional demands. There have been many reports using prefabricated flaps to resurface facial skin lesions. However, an algorithm to select the most suitable treatment option for the individual patient is lacking.

Methods An algorithm for facial resurfacing based on three types of prefabricated flaps from the cervical, periclavicular, and lateral thoracic area was setup, and 15 were patients treated accordingly.

Results All 15 prefabricated flaps survived. Minor necrosis at the distal flap edge developed in three cases. After a follow-up of at least 6 months, all patients showed satisfactory aesthetic and functional outcomes.

Conclusion By individual selection of the most suitable option among these three types of prefabricated flaps, satisfactory resurfacing can be achieved for most facial burn scars.

 
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