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Reconstruction of the perioral region after facial burns

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Handbook of Burns

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Abstract

Deep facial burns occur for different reasons and often affect patients’ outcome and life quality in a dramatic fashion. Although they are present in a minority of burned patients, they pose a greater challenge in surgical and non-surgical treatment. Chemical, electrical and thermal burns can lead to disfiguring scar formations and restrain sufficient mouth opening (impaired temporomandibular joint range of motion). The average physiological mouth opening measures 40– 50 mm. An opening of 25– 35 mm is still functional while an opening of less than 24 mm is severely limiting in daily life [1]. In the literature 3.7–10.8 % of thermal burn admissions are complicated by reduction of the size of the oral aperture, generally called microstomia. In infants, perioral burns often occur when a child bites into or sucks on an electrical cord or the improperly connected junction of two electrical cords.

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Author information

Authors and Affiliations

  1. Department Hand Surgery, Plastic and Aesthetic Surgery, Universitätsklinik, Ludwig-Maximilians-Universität München, Pettenkoferstraße 8a, 80336, Munich, Germany

    Timo Alexander Spanholtz M.D. (Senior Consultant) & Riccardo E. Giunta

Authors
  1. Timo Alexander Spanholtz M.D.
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  2. Riccardo E. Giunta
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Corresponding author

Correspondence to Timo Alexander Spanholtz M.D. .

Editor information

Editors and Affiliations

  1. Plastische, Aesthetische und Rekonstruktive Chirurgie, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria

    Lars-Peter Kamolz M.D., M.Sc

  2. Sunnybrook Health Sciences Centre, Department of Surgery, Division of Plastic Surgery, University of Toronto, Sunnybrook Research Institute, Toronto, ON, Canada

    Marc G. Jeschke M.D., Ph.D.

  3. Universitätsklinikum Erlangen, Plastisch- und Handchirurgische Klinik, Erlangen, Germany

    Raymund E. Horch M.D., Ph.D.

  4. Evangelische Elisabeth Klinik Krankenhausbetriebs gGmbH, Berlin, Germany

    Markus Küntscher M.D., Ph.D.

  5. Prednosta Kliniky popálenin, a rekonstrukcní chirurgie, FN Brno, Czech Republic

    Pavel Brychta M.D., Ph.D., C.Sc.

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© 2012 Springer-Verlag/Wien

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Spanholtz, T.A., Giunta, R.E. (2012). Reconstruction of the perioral region after facial burns. In: Kamolz, LP., Jeschke, M.G., Horch, R.E., Küntscher, M., Brychta, P. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0315-9_19

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  • DOI: https://doi.org/10.1007/978-3-7091-0315-9_19

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0314-2

  • Online ISBN: 978-3-7091-0315-9

  • eBook Packages: MedicineMedicine (R0)

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