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DOI: 10.1055/s-2005-918911
© Georg Thieme Verlag Stuttgart · New York
Behandlungsmöglichkeiten in der Verbrennungschirurgie - Narbenbehandlung und Sekundärrekonstruktion
Treatment Options in Burn Surgery - Treatment of Scars and Secondary ReconstructionPublication History
Publication Date:
05 October 2005 (online)
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Zusammenfassung
Die konservative Narbentherapie und die Sekundärrekonstruktion von Verbrennungsnarben haben einen festen Stellenwert bei der Behandlung von Schwerbrandverletzten. Nach der Primärversorgung sollten zunächst konservative Therapieoptionen bei der Narbenbehandlung ausgeschöpft werden. Chirurgische Korrekturen können meist nach Abschluss der Narbenreifung vorgenommen werden. Extrem entstellende und vor allem funktionseinschränkende Narben sollten jedoch frühzeitiger behandelt werden. Aufgrund der verschiedenen Rekonstruktionsmöglichkeiten muss der plastische Chirurg ein individuelles Konzept für jeden Patienten erarbeiten. Eine wichtige Voraussetzung ist dabei die Behandlung Schwerbrandverletzter in modernen Brandverletztenzentren, die eine Kontinuität der Behandlung mit einer dauerhaften interdisziplinären Betreuung gewährleisten und das gesamte Spektrum der plastischen Chirurgie anbieten.
Summary
Reconstruction following severe burn trauma is still a major challenge for plastic surgery. The treatment of scars and contractures is in the focus after primary reconstruction of the severely burned patients. The physical disfigurement of the patients leads to increased psychological strain regardless of the degree of the scars and contractures. For this reason the plastic surgeon needs to work out treatment plans for aftercare. A variety of different non-operative treatment options are available. However some scars lead to functional limitations or unstable scars and therefore require secondary reconstruction. In consideration of functional, esthetical and feasible aspects the plastic surgeon needs to offer the patient an individual reconstructive concept.
Key words
burn - scars - contractures - secondary reconstruction
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Anschrift für die Verfasser
Dr. Emre Gazyakan
Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum Berufsgenossenschaftliche Unfallklinik Ludwigshafen
Plastische- und Handchirurgie der Universität Heidelberg
Ludwig-Guttmann Str. 13
67071 Ludwigshafen