Zamora-Inzunza JG, Soto-Verdugo LA, Maquita-Esquivel KA, Castro-Islas DA

Language: Spanish
References: 10
Page: 187-190
PDF size: 267.34 Kb.

ABSTRACT

The management of facial burns is extremely challenging, harm or wounds in special areas, due to the potential aesthetic and functional sequelae. They require expertise in the use of complex reconstructive tissue techniques. The cheek is a peripheral unit of the face, which traces the preauricular contours of the ear. The skin color is like the rest of the face and gives it important contours. Treatment can range from medical management per se to surgical treatment based on escharectomy and skin coverage with grafts or flaps; considering symmetry, contour, color, and texture of the contralateral cheek. We present the case of a patient who was attacked. Such patient was operated on for a deep third degree burn with hot iron by third parties on his left cheek. This patient underwent debridement to define the defect. After that, a cervicofacial flap was rotated and extended to the retro auricular region, covering the secondary defect with an ipsilateral full thickness brachial graft. The postoperative period was uneventful. An optimal aesthetic and functional result were proven.

REFERENCES

1. Forjuoh SN. Burns in low- and middle-income countries: a review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns 2006; 32 (5): 529-537.

2. Cuadra CA, Piñeros BJ, Roa GR. Quemaduras faciales: "manejo inicial y tratamiento". Rev Med Clin Condes 2010; 21 (1): 41-45.

3. Peck MD, Kruger GE, van der Merwe AE, Godakumbura W, Ahuja RB. Burns and fires from non-electric domestic appliances in low and middle income countries Part I. The scope of the problem. Burns 2008; 34 (3): 303-311.

4. Menick FJ. Reconstruction of the cheek. Plast Reconstr Surg 2001; 108 (2): 496-504.

5. Wainwright DJ. Burn reconstruction: the problems, the techniques, and the applications. Clin Plast Surg 2009; 36 (4): 687-700.

6. Chung KK, Wolf SE, Cancio LC, Alvarado R, Jones JA, McCorcle J et al. Resuscitation of severely burned military casualties: fluid begets more fluid. J Trauma 2009; 67 (2): 231-237; discussion 237.

7. Singer AJ, Thode HC Jr. National analgesia prescribing patterns in emergency department patients with burns. J Burn Care Rehabil 2002; 23 (6): 361-365.

8. Ramzy PI, Barret JP, Herndon DN. Thermal injury. Crit Care Clin 1999; 15 (2): 333-352, ix.

9. Ziccardi VB, Goldfarb IW, Braun TW. Oral and maxillofacial surgical considerations in the management of burn victims. J Oral Maxillofac Surg 1994; 52 (6): 607-613.

10. Russo F, Linares M, Iglesias ME, Martínez-Amo JL, Cabo F, Tercedor J et al. Técnicas reconstructivas de elección por unidades estéticas faciales. Actas Dermosifiliogr 2017; 108 (8): 729-737.