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Treatment of nasal scar in patient with total burn of face and neck with full thickness graft
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Sadrollah Motamed *   , Seyed Esmail Hassanpour , Seyed Mehdi Mosavizadeh , Hadi Amali Amiri |
| Professor of Plastic and Reconstructive surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran , S_Motamed 2006@yahoo.com |
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Abstract: (10801 Views) |
| Background and Aim: Face and neck reconstruction in burn contracture scar is very difficult and needs many surgical techniques and may have unfavorable results. Materials and Methods: This case series was ran on patients with total burn of face and neck who had contracture scar and were visited in 15 Khordad Hospital during a period of 3 years, from 2008 to 2011. We introduced a technique of FTSG coverage on the defect area after meticulous releasing of contracture scar. The donor site graft was medial arm. Results: During this time period, 21 patients with mean age of 28 years entered the study. There were 9 men, 10 women and two children. In total burn of face and neck, there is no option for local or regional flaps. Thus, the nose unit was reconstructed by FTSG from medial arm. The final color, texture and appearance was good. Conclusion: We have introduced FTSG for nose skin defect in total burn of face and neck, in which flap is not available. We suggest all nose scars to be removed at the level of epidermis and dermis and turn down ala flap, followed by meticulous release of scar tissue especially side wall and careful homeostasis. |
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| Keywords: Burns, Surgical Procedures, Operative, Transplants, Full Thickness Graft |
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Full-Text [PDF 628 kb]
(3316 Downloads)
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Type of Study: Original |
Subject:
Medicine
Received: 2017 | Accepted: 2017 | Published: 2017
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