Acta chirurgiae plasticae
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Acta chirurgiae plasticae · Jan 2006
Case ReportsReconstruction of facial burn sequelae utilizing tissue expanders with embodiment injection site: case report.
Although highly specialized burn centers have significantly reduced mortality rates following extensive total body surface area burns, survivors are often left with grotesque facial disfigurement. Hypertrophic scars and tissue defects are the most common cause of functional and aesthetic problems in the head and neck region. Plastic surgeons use full-thickness or split-thickness skin grafts, pedicled flaps, free flaps, transplantation of bone or cartilage and tissue expansion. ⋯ The patient was treated utilizing multiple tissue expansion. Facial animation has retained and facial integrity has been aesthetically restored and, with the use of make-up, it is near normal in social settings at conversational distances. The tissue expansion technique is advantageous in facial reconstruction because it makes it possible to resurface even wider defects with neighboring skin, similar in colour and texture, and superior to skin obtained elsewhere.
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Acta chirurgiae plasticae · Jan 2005
Case ReportsDegloving injury--the use of a combination of free fasciocutaneous sensitive flap and pedicle flaps for reconstruction.
The authors present a case report of reconstruction after a degloving injury to hand by a combination of microsurgery and standard pedicle flaps. Degloving injury high on the hand was solved by free sensitive fasciocutaneous flap transfer from the radial forearm (Chinese flap), which covered the defect in the palm, while finger defects were covered by pedicle flaps from the abdomen. Dorsum of the hand was treated with a mesh skin graft. The authors also describe techniques of treatment and the relevant results prior to the time of microsurgery and compare them to the possibilities offered by microsurgery today, and they include comprehensive illustrations.
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The authors have analyzed the data files of 580 child patients up to 15 years of age who were hospitalized at the Burn Center of the FNsP Hospital in Ostrava in the years 1999 - 2003. The authors focused on mechanisms of burn injury in relation to the age of a child as well as extent, depth, localization, and local treatment of the injury. The data file was divided to four age groups: up to two years of age, 2 - 5 years of age, 5 - 10 years of age, and 10 - 15 years of age. ⋯ Surgical intervention was necessary in more than half the cases. In terms of average extent of an injury, the smallest burn injuries are caused by electric current. However, these injuries are deep, and surgical intervention was necessary in all cases.
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Emergency Medicine (EM) has evolved since 1950s--in the Czech Republic as well as abroad--from Anaesthesiology and Resuscitation in parallel with the Burn Medicine which has separated from Plastic Surgery. EM creates a link between the laymen first aid and the specialized hospital care, which is realized by the Emergency Medical Service (EMS). The EMS interventions for serious burn patients comprise the early professional prehospital medical care: establishing free airway and breathing, establishing intravenous/intraosseous access into the blood circulation, early shock therapy, early pharmacotherapy and analgesia, aseptic covering of damaged body surface, releasing escharotomies of circumferential burns of the chest and neck and optimal transport of patients into burn centres.