Статья

Early Excision and Grafting of Face and Neck Burns in Patients over 20 Years

Jana K. ColeHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington, Seattle 98104, USALoren H. EngravHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001David M. HeimbachHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001Nicole S. GibranHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001B. A. CostaHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001Dana NakamuraHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001Merilyn L. MooreHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001Carolyn BlayneyHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001Carolyn L. HooverHarborview Medical Center Burn Center, Department of Surgery, Division of Plastic Surgery, University of Washington. Received for publication November 21, 2000; revised June 14, 2001

2002en

ABI

Аннотация

Although excision and grafting of burns has become common and standard, many surgeons have been reluctant to excise and graft face burns. In fact, we could find photographic results at 1 year after grafting of only eight patients in the English literature. We began excision and grafting of face burns in 1979 and presented our first 16 patients in 1986 in this journal. With encouragement from Janzekovic and Jackson, we continued and have now used essentially the same procedure for more than 20 years in approximately 100 patients and, from this large series, are able to present outcomes. From January of 1979 to May of 1999, we performed excision and grafting on 91 patients with deep face burns. Data were recorded and 35-mm photographs were obtained throughout the 20-year period. We reviewed that database and the slide files of these patients. We found 45 patients with complete photographic sets including 1-year follow-up. Since, in our opinion, there is no useful, objective measure of appearance, we decided to simply publish all 45 sets of complete photographs, permitting the reader to subjectively form an opinion of the outcome of this procedure. The results are all shown as "full" face burns and two "partial" face burns. We continue to believe that early excision and grafting is indicated for face burns that will not heal within 3 weeks and that the procedure yields results that permit the burn victims to return to society and minimizes the time off work or out of school.

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Идентификаторы

DOI: 10.1097/00006534-200204010-00009

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Цитирований: 2Использованных источников: 0

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