British journal of plastic surgery
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The morphological distortion of the facial skeleton induced by untreated paediatric burns of the head and neck reinforces the theories of craniofacial growth and the modern principles of acute burn management and post-burn facial reconstruction.
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The technique of the multiple Y-V plasty is described. The records of all 129 patients who underwent surgery to release burn scar contractures over a 5-year period are reviewed. Halfway through this study period the multiple Y-V plasty was introduced, resulting in a marked reduction in the number of Z-plasty and skin grafting procedures carried out. There was an associated fall in the number of wound complications seen and the length of hospital stay required.