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Year : 2006  |  Volume : 14  |  Issue : 1  |  Page : 29-32

Reconstruction of post burn facial scarring- A prospective study to compare different surgical options

Department of Reconstructive, Microvascular and Plastic surgery, S.S.G. Hospital, Medical College Baroda

Correspondence Address:
Yogesh C Bhatt
106, Gayatri nagar, M.D. road, Off vasana road, Vadodara, Gujarat

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Source of Support: None, Conflict of Interest: None

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Various methods of reconstruction are available for post burn facial deformities ranging from split thickness skin grafting to full thickness skin grafting or loco regional flaps to free flaps. Serial scar excision and tissue expansion are also important armamentarium in the hands of a burn surgeon. Extensive literature is available regarding epidemiological factors of burns, its causes, pattern and type of burns affecting facial region, but a very few studies show the comparative results of different surgical options available for similar conditions. This prospective study was designed to compare the outcome of these different surgical procedures in terms of their advantages, limitations, duration of hospitalization, cost effectiveness, as well as patient and surgeon satisfaction level. Over a period of three years from Feb 2004 to Feb 2007, 56 procedures were performed in 40 patients. Microvascular free flaps have turned out as a promising answer for many difficult conditions, both in acute stages as well as in late elective procedures, for aesthetic reconstruction of face. Full-face excision and grafting should be considered in badly affected faces.

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