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ORIGINAL ARTICLE
Year : 2009  |  Volume : 17  |  Issue : 1  |  Page : 26-33

A Clinical Study of Post Burn Breast Reconstruction


Department of Plastic & Reconstructive Surgery, Christian Medical College, Vellore, Tamilnadu-632004, India

Correspondence Address:
Binita Beck
Department of Plastic & Reconstructive Surgery, Christian Medical College, Vellore, Tamilnadu-632004
India
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Source of Support: None, Conflict of Interest: None


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Objective: To study and analyze the cases of post burn breast contracture over a period of three years based on age, etiology, duration, side, severity, surgical procedures, complications, results and patient compliance. To study the relationship between specific treatment variables and functional outcome among patients undergoing post burn breast reconstruction as measured by symmetry of breast, location of infra mammary line, breast projection and scarring. To measure, the effect of duration of contracture and patient age on the above outcome and the types of surgery. Methods: A Prospective study of all cases of post burn contracture of one or both the breasts managed by various methods in our department. Depending up on the extent of damage, the contractures were classified as mild, moderate and severe. The treatment options adopted were contracture release followed by split skin grafting, Z plasty, Y-V plasty, V-Y plasty, 5 flap plasty, sliding abdominal flap, Parascapular flap and reduction Mammoplasty Results: 40 patients were studied. 37 had thermal burns, 2 had acid burns and 1 had scald burn. The mean age of admission at treatment was 15 years. The average duration of deformity was 5 years. Majority of the contractures were of moderate type, where the breast tissue was present but was covered by scar. Out of the total patients studied, 14 had bilateral breast involvement, 15 had right breast contracture and 11 had left breast contracture. Nipple areola reconstruction was done in 13 patients. Resurfacing of the raw area after contracture release with local flaps gave good results in terms of color match, contour of breast and infra mammary crease projection but was not always possible especially when extensive areas were involved where skin grafting was the option.


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