Annales de chirurgie plastique et esthétique
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The external ear is a complex, delicate structure and treatment of burned ears should not be neglected. We will detail the different scenarios a surgeon can encounter and present a therapeutic algorithm. ⋯ Reconstruction of one or both ears is often the last step in a rehabilitation process after burns. It is ideally performed after wound healing has been achieved, and by a team well trained in microtia treatment and post-traumatic reconstruction.
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The skin expansion marks a turning point in the repair of burn sequelae by allowing replace the original tissue with a coating of the same quality or a large full-thickness skin graft. The authors explain the peculiarities of this process in the sequelae of burn: indications, surgical technique, complications. They stressed the difficulties related to the "invisible loss" of skin, the "mandatory deficit" of the expansion, the expansion sub-scarring, the development of the treatment plan, the sustainability of the expansion.