A nine-year-old girl sustained extreme
postburn contractures of the face, neck, both axillae, elbows, wrists, and
ankles, due to flame injury 5 years ago. No primary and plastic surgical burn
treatment was available in a remote area of China. From October, 2005 to April,
2007, all adhesions were released in five operations and the huge defects
covered with local musculo-cutaneous flaps, z-plasties, and with thick split
skin gafts. This led to an optimal functional result and an aesthetic
restoration of the face, giving her, back her self-esteem in daily life.
References
[1]
W. Wei, “Plastic Surgery, ” Zhejiang Science and Technology Press, Hangzhou, 1999, p. 826.
[2]
I. Kuran, T. Turan, B. Saadikoglu, et al., “Treatment of a Neck Burn Contracture with a Super-Thin Occipito-Cervico-Dorsal Flap,” Burns, Vol. 25, No. 1, 1999, pp. 88-92.
doi:10.1016/S0305-4179(98)00130-2
[3]
R. Ogawa, H. Hyakusoku, I. Iwakiri, et al., “Severe Neck Scar Contracture Reconstructed with a Ninth Dorsal Intercostal Perforator Augmented ‘Super Thin Flap’,” Annals of Plastic Surgery, Vol. 52, No. 2, 2004, pp. 216-219.
[4]
M. Rashid, M. Zia-Ul-Islam, S. U. Sarwar, et al., “The Expansile’ Supraclavicular Artery Flap for Release of Post-Burn Neck Contractures,” Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol. 59, No. 10, 2006, pp. 1094-1101. doi:10.1016/j.bjps.2005.12.058
[5]
J. G. McCarthy, “Plastic Surgery,” 3rd Edition, W. B. Saunders Co., Philadelphia, 1990, pp. 2063-2068.
[6]
S. Bhattacharya, S. K. Bhatnagar and R. Chandra, “Postburn Contracture of the Neck—Our Experience with a New Dynamic Extension Splint,” Burns, Vol. 17, No. 1, 1991, pp. 65-67. doi:10.1016/0305-4179(91)90016-A