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2018, Number 2

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Cir Plast 2018; 28 (2)

Handling of the pediatric burned patient through the reconstructive ladder

Canepa FP, Cantú CMZ, Márquez MJF, Valencia GLC, Aguilar CK
Full text How to cite this article 10.35366/CP182G

DOI

DOI: 10.35366/CP182G
URL: https://dx.doi.org/10.35366/CP182G

Language: Spanish
References: 8
Page: 77-81
PDF size: 363.64 Kb.


Key words:

Pediatric burned patient, reconstructive ladder.

ABSTRACT

Burned patients represent a great challenge for plastic surgeons, the spectrum of injuries ranging from first degree burns, to third degree burns with exposure of noble structures, sometimes requiring radical management. It is necessary that the plastic surgeon have a wide repertoire of options for the reconstruction of the burned patient. We present 4 cases of patients with different degrees of burns, which were managed based on the reconstructive ladder, presenting good results both functional and aesthetic. We concluded that the reconstructive ladder is the principle on which reconstructive surgery should be based, particularly for the management of the burned patient, so the plastic surgeon must have a wide knowledge of the options to solve a problem and assess the risks against the benefits, to offer the best treatment for the burned patient.


REFERENCES

  1. Turner AJ, Parkhouse N. Revisiting the reconstructive ladder. Plast Reconstr Surg 2006; 118 (1): 267-268.

  2. Mascaró P. Reconstrucción de tejidos blandos de la extremidad superior. Rev Med Clin Condes 2016; 27 (1): 42-53.

  3. Simman R. Wound closure and the reconstructive ladder in plastic surgery. J Am Col Certif Wound Spec 2009; 1: 6-11.

  4. Villaverde-Doménech ME, Simón-Sanz E, Delgado-Ruíz T, Pérez-Ramos L, Safont-Albert J. El reto de las transferencias de colgajos libres en pacientes quemados ¿cuál es el mejor momento para la cirugía? Cir Plast Iberolatinoam 2015; 41: 117-126.

  5. Baumeister S, Köller M, Dragu A, Germann G, Sauerbier M. Principles of microvascular reconstruction in burn and electrical burn injuries. Burns 2005; 31 (1): 92-98.

  6. Ofer N, Baumeister S, Megerle K, Germann G, Sauerbier M. Current concepts of microvascular reconstruction for limb salvage in electrical burn injuries. J Plast Reconstr Aesthet Surg 2007; 60 (7): 724-730.

  7. Malard O, Corre P, Jégoux F, Durand N, Dréno B, Beauvillain C et al. Surgical repair of labial defect. Eur Ann Otorhinolaryngol Head Neck Dis 2010; 127 (2): 49-62.

  8. López F, Vásquez O, Ocampo J. Reconstrucción de labio: conceptos actuales. Dermatología CMQ 2015; 13 (1): 24-32.




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C?MO CITAR (Vancouver)

Cir Plast. 2018;28