Acute Management of Facial Burns, Acute Versus Long-Term, Surgical Versus Non-surgical Face Transplant

  • Juan P. BarretEmail author
  • Julia Barret-Joly


Facial burns represent a challenge to all multidisciplinary burn teams. Face is an anatomic area that involves aesthetics, emotional and social interaction, function and sensorium. Acute burns to the face and post-burn deformity causes significant psychological and physical discomfort to the victim. Full support from the whole burn team is necessary to abrogate their effects. All the armamentarium of plastic surgery, from simple topical wound care to vascularised composite allotransplantation, should be implemented to obtain a complete recovery.


  1. 1.
    Thomas S, Barrow RE, Herndon DN. History of the treatment of burns. In: Herndon DN, editor. Total burn care. 5th ed. Amsterdam: Elsevier; 2017.Google Scholar
  2. 2.
    Heimbach DM, Warden GD, Luterman A, Jordan MH, Ozobia N, Ryan CM, Voigt DW, Hickerson WL, Saffle JR, DeClement FA, Sheridan RL, Dimick AR. Multicenter postapproval clinical trial of Integra dermal regeneration template for burn treatment. J Burn Care Rehabil. 2003;24(1):42–8.CrossRefGoogle Scholar
  3. 3.
    National Burn Care Review. Standards and strategy for burn care; a review of burn care in the British Isles. In: Dunn KW. National Burn Care Review Committee; 2001.Google Scholar
  4. 4.
    Čapek KD, Culnan DM, Desai MH, Herndon DN. Fifty years of burn care at Shriners hospitals for children, Galveston. Ann Plast Surg. 2018;80(3 Suppl 2):S90–4.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Barret JP, Desai MH, Herndon DN. Massive transfusión of reconstituted whole blood is well tolerated in pediatric burn surgery. J Trauma. 1999;47(3):526–8.CrossRefGoogle Scholar
  6. 6.
    Desai MH, Herndon DN, Broemeling L, Barrow RE, Nichols RJ Jr, Rutan RL. Early burn wound excision significantly reduces blood loss. Ann Surg. 1990;211(6):753–9; discussion 759–62.CrossRefGoogle Scholar
  7. 7.
    Engrav LH, Donelan MB. Face burns: acute care and reconstruction. In: Operative techniques in plastic and reconstructive surgery. Vol. 4, No. 2. Philadelphia: W. B. Saunders; 1997.CrossRefGoogle Scholar
  8. 8.
    Luce EA. Burn care and management. Clin Plast Surg. 2000;27(1). W. B. Saunders.Google Scholar
  9. 9.
    Remensynder JP, Donelan MB. Reconstruction of the head and neck. In: Herndon DN, editor. Total burn care. London: W. B. Saunders; 2002.Google Scholar
  10. 10.
    Achauer BM. Burn reconstruction. New York: Thieme; 1991.Google Scholar
  11. 11.
    Achauer BM. General reconstructive surgery. In: Plastic surgery, indications, operations, and outcomes. St. Louis: Mosby; 2000.Google Scholar
  12. 12.
    Barret JP, Herndon DN. The face. In: Principles and practice of burn surgery. New York: Marcel Dekker; 2005.Google Scholar
  13. 13.
    Palao R, Aguilera-Saez J, Serracanta J, Collado JM, Dos santos BP, Barret JP. Use of a selective enzymatic debridement agent (Nexobrid®) for wound management: learning curve. World J Dermatol. 2017;6(2):32–41.CrossRefGoogle Scholar
  14. 14.
    Devauchelle B, Badet L, Lengelé B, Morelon E, Testelin S, Michallet M, D’Hauthuille C, Dubernard JM. First human face allograft: early report. Lancet. 2006;368(9531):203–9.CrossRefGoogle Scholar
  15. 15.
    Barret JP, Gavaldà J, Bueno J, et al. Full face transplant: the first case report. Ann Surg. 2011;254(2):252–6.CrossRefGoogle Scholar
  16. 16.
    Barret JP, Serracanta J, Collado JM, et al. Full face transplantation organization, development, and results—the Barcelona experience: a case report. Transplant Proc. 2011;43:3533–4.CrossRefGoogle Scholar
  17. 17.
    Arno A, Barret JP, Harrison RA, Jeschke MG. Face allotransplantation and burns: a review. J Burn Care Res. 2012;33:561–76.CrossRefGoogle Scholar
  18. 18.
    Barret JP, Tomasello V. Evaluation of candidates for face transplantation. In: Face transplantation: principles, techniques and artistry. Berlin: Springer; 2015.CrossRefGoogle Scholar
  19. 19.
    Barret JP, Tomasello V. Face transplantation: surgical aspects. In: Face transplantation: principles, techniques and artistry. Berlin: Springer; 2015.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Plastic Surgery and BurnsUniversity Hospital Vall d’Hebron, Universitat autonoma de BarcelonaBarcelonaSpain
  2. 2.SEK Catalunya International SchoolLa GarrigaSpain

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