Summary
A considerable portion of burn patients suffers severe full-face burns. Even after
they were treated, some severe abnormalities still stay with them such as upper- and
lower-eyelid ectropions, upper- and lower-lip ectropions, microstomia and extensive
facial scar hyperplasia accompanied with pruritus. Patients suffer a great deal physically,
emotionally and socially. Here we conclude our treatment experience of full-face burns
with the full-face, whole, full-thickness skin grafting, which has not yet reported
in the literature. We transplanted a whole, full-thickness skin graft to cover the
wound in the primary operation and then remedied eyelid ectropions and microstomia
in the operation that followed. The results of a 4-year-follow-up suggest that the
patient has recovered part of facial expression and sensation without any geographic
scars. Full-face, whole, full-thickness skin grafting appears to be an effective and
relatively simple method for full-face burns that do not respond well to facial composite
tissue allotransplantation (CTA).
Keywords
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References
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- Psychosocial recovery, pain, and itch after burn injuries.Phys Med Rehabil Clin N Am. 2011; 22: 327-345
- Treatment of post-burn upper extremity, neck and facial contractures: report of 77 cases.Ulus Travma Acil Cerrahi Derg. 2010; 16: 401-406
- Some issues in facial transplantation.Am J Transpl. 2008; 8: 2169-2172
- Clinical considerations in face transplantation.Burns. 2010; 36: 951-958
- Outcomes 18 months after the first human partial face transplantation.N Engl J Med. 2007; 357: 2451-2460
- Human facial allotransplantation: a 2-year follow-up study.Lancet. 2008; 372: 631-638
- Facial transplantation: lessons so far.Lancet. 2009; 374: 177-178
Article info
Publication history
Published online: May 22, 2012
Accepted:
April 2,
2012
Received:
November 15,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
