Skip to main content
SpringerLink
Log in
Book cover

Handbook of Burns pp 291–302Cite as

Acute management of facial burns

  • Chapter

Abstract

The face is a unique and vitally important structure in humans and plays an irreplaceable role in human life. The face contains the organs of smell, sight, hearing and taste. It is involved in important physiological functions such as vision, respiration, feeding, and hearing but is also vital in communication, transmitting expressions and emotions, feelings and signifying individual identity. It is a complex structure of skin, muscle, fat, vessels, nerves draped around the facial skeleton. A facial burn can vary from being relatively minor to a severely debilitating and disfiguring injury.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ye EM (1998) Psychological morbidity in patients with facial and neck burns. Burns 24: 646–648

    Article  PubMed  CAS  Google Scholar 

  2. Klein MB, Moore ML, Costa B et al (2005) Primer on the management of face burns at the University of Washington. J Burn Care Rehabil 26: 2–6

    Article  PubMed  Google Scholar 

  3. Donelan MB (2006) Reconstruction of the head and neck. In: Herndon DN (ed) Total burn care. Saunders/Elsevier, London, pp 701–718

    Google Scholar 

  4. Deitch EA, Wheelahan TM, Rose MP, Clothier J, Cotter (1983) Hypertrophic burn scars: analysis of variables. J Trauma 23(10): 895–898

    Article  PubMed  CAS  Google Scholar 

  5. Cubison TC, Pape SA, Parkhouse N (2006) Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury. Burns 32(8): 992–999. Epub 2006 Aug 8

    Article  PubMed  Google Scholar 

  6. McDonald WS, Deitch EA (1987) Hypertrophic skin grafts in burned patients: a prospective analysis of variables. J Trauma 27(2): 147–150

    Article  PubMed  CAS  Google Scholar 

  7. Gonzalez Ulloa M (1987) Regional aesthetic units of the face. Plast Reconstr Surg 79: 489

    Google Scholar 

  8. Fraulin FO, Illmayer SJ, Tredget EE (1996) Assessment of cosmetic and functional results of conservative versus surgical management of facial burns. J Burn Care Rehabil 17: 19–29

    Article  PubMed  CAS  Google Scholar 

  9. Jaskille AD, Ramella-Roman JC, Shupp JW, Jordan MH, Jeng JC (2010) Critical review of burn depth assessment techniques: part II. Review of laser doppler technology. J Burn Care Res 31(1): 151–157

    Article  PubMed  Google Scholar 

  10. Friedstat JS, Klein MB (2009) Acute management of facial burns. Clin Plast Surg 36(4): 653–660

    Article  PubMed  Google Scholar 

  11. Aggarwal S, Smailes S, Dziewulski P (2009) Tracheostomy in burns patients revisited. Burns 35(7): 962–966

    Article  PubMed  Google Scholar 

  12. Leon-Villapalos J, Jeschke MG, Herndon DN (2008) Topical management of facial burns. Burns 34(7): 903–911

    Article  PubMed  Google Scholar 

  13. Khera SY et al (1999) A comparison of chlorhexidine and povidone-iodine skin preparation for surgical operations. Curr Surg 56: 341–343

    Article  Google Scholar 

  14. Monafo WW, West MA (1990) Current treatment recommendations for total burn therapy. Drugs 40: 364–373

    Article  PubMed  CAS  Google Scholar 

  15. Atiyeh BS et al (2007) Effect of silver on burn wound infection control and healing: review of the literature. Burns 33: 139–148

    Article  PubMed  Google Scholar 

  16. Cooper ML et al (1991) The cytotoxic effects of commonly used topical antimicrobial agents on human fibroblasts and keratinocytes. J Trauma 31: 775–784

    Article  PubMed  CAS  Google Scholar 

  17. Demling RH, DeSanti L (1999) Management of partial thickness facial burns (comparison of topical antibiotics and bioengineered skin substitutes). Burns 25: 256–261

    Article  PubMed  CAS  Google Scholar 

  18. Horch RE et al (2005) Treatment of second degree facial burns with allografts-preliminary results. Burns 31: 597–602

    Article  PubMed  Google Scholar 

  19. Garner JP, Heppell PSJ (2005) Cerium nitrate in the management of burns. Burns 31: 539–547

    Article  PubMed  CAS  Google Scholar 

  20. Bowser BH et al (1981) A prospective analysis of silver sulfadiazine with and without cerium nitrate as a topical agent in the treatment of severely burned children. J Trauma 7: 558–563

    Article  Google Scholar 

  21. Dunn K, Edwards-Jones V (2004) The role of ActicoatTM with nanocrystalline silver in the management of burns. Burns 30 [Suppl 1]: S1–9

    Article  Google Scholar 

  22. Cuttle L, Naidu S, Mill J, Hoskins W, Das K, Kimble R (2007) A retrospective cohort study of ActicoatTM versus SilvazineTM in a paediatric population. Burns 33: 701–707

    Article  PubMed  Google Scholar 

  23. Bessey PQ (2006) Wound care. In: Herndon DN (ed) Total burn care. Saunders, London, pp 127–135

    Google Scholar 

  24. Ang ES et al (2000) The role of alternative therapy in the management of partial thickness burns of the face. Experience with the use of moist exposed burn ointment (MEBO) compared with silver sulphadiazine. Ann Acad Med Singapore 29: 7–10

    PubMed  CAS  Google Scholar 

  25. Zhang H et al (2005) Efficacy of moist exposed burn ointment on burns. J Burn Care Rehabil 26: 247–251

    PubMed  Google Scholar 

  26. Delatte SJ et al (2001) Effectiveness of beta-glucan collagen for treatment of partial thickness burns in children. J Pediatr Surg 36: 113–118

    Article  PubMed  CAS  Google Scholar 

  27. Chester DL, Papini R (2004) Skin and skin substitutes in burn management. Trauma 6: 87–99

    Article  Google Scholar 

  28. Demling RH, De Santi L (2002) Closure of partial-thickness facial burns with a bioactive skin substitute in the major burn population decreases the cost of care and improves outcome. Wounds 14: 230–234

    Google Scholar 

  29. Barret JP, Dziewulski P, Ramzy PI, Wolf SE, Desai MH, Herndon D (2000) Biobrane versus 1 % silver sulfadiazine in second-degree pediatric burns. Plast Reconstr Surg 105(1): 62–65

    Article  PubMed  CAS  Google Scholar 

  30. Branski LK et al (2008) Amnion in the treatment of pediatric partial-thickness facial burns. Burns 34: 393–399

    Article  PubMed  Google Scholar 

  31. Pham C et al (2007) Bioengineered skin substitutes for the management of burns: a systematic review. Burns 33: 946–957

    Article  PubMed  Google Scholar 

  32. Barret JP (2005) The face. In: Barret-Nerin JP, Herndon DN (eds) Principles and practice of burn surgery. Marcel Dekker, New York, pp 281–289

    Google Scholar 

  33. Klein MB, Engrav LH, Holmes JH et al (2005) Management of facial burns with a collagen/glycosaminoglycan skin substitute-prospective experience with 12 consecutive patients with large, deep facial burns. Burns 31: 257–261

    Article  PubMed  Google Scholar 

  34. Dancey A, Mein E, Khan M, Rayatt S, Papini R (2008) Is crow’s feet sign a reliable indicator of corneal injury in facial burns? J Plast Reconstr Aesthet Surg 61(11): 1325–1327

    Article  PubMed  CAS  Google Scholar 

  35. Barrow RE, Jeschke MG, Herndon DN (2000) Early release of third-degree eyelid burns prevents eye injury. Plast Reconstr Surg 105: 860–863

    Article  PubMed  CAS  Google Scholar 

  36. Klein MB, Ahmadi AJ, Sires BS et al (2008) Reversible marginal tarsorrhaphy: a salvage procedure for periocular burns. Plast Reconstr Surg 121: 1627–1630

    Article  PubMed  CAS  Google Scholar 

  37. Engrav LH, Richey KJ, Walkinshaw MD et al (1989) Chondritis of the burned ear: a preventable complication. Ann Plast Surg 23: 1-2

    Google Scholar 

  38. Saito T, Yotsuyanagi T, Ezoe K, Ikeda K, Yamauchi M, Arai K, Urushidate S, Mikami M (2009) The acute surgical management of injury to the helix and antihelix in patientswith large body surface area burns. J Plast Reconstr Aesthet Surg 62(8): 1020–1024

    Article  PubMed  Google Scholar 

  39. Spies M, McCauley RL, Mudge BP, Herndon DN (2003) Management of acute calvarial burns in children. J Trauma 54(4): 765–769

    Article  PubMed  Google Scholar 

  40. Pushpakumar SB, Barker JH, Soni CV, Joseph H, van Aalst VC, Banis JC, Frank J (2010) Clinical considerations in face transplantation. Burns 36(7): 951–958

    Article  PubMed  Google Scholar 

  41. Edgar D, Brereton M (2004) Rehabilitation after burn injury. BMJ 329: 342–344

    Article  Google Scholar 

  42. Lyle WG (2001) Silicon gel sheeting. PRS 1079: 272–275

    Google Scholar 

  43. Patiño O, Novick C, Merlo A, Benaim F J (1999) Massage in hypertrophic scars. Burn Care Rehabil 20(3): 268–271

    Google Scholar 

  44. Engrav LH, Heimbach DM, Rivara FP, Moore ML, Wang J, Carrougher GJ, Costa B, Numhom S, Calderon J, Gibran NS (2010) 12-Year within-wound study of the effectiveness of custom pressure garment therapy. Burns 36(7): 975–983

    Article  PubMed  CAS  Google Scholar 

  45. Rogers B et al (2003) Computerized manufacturing of transparent face masks for the treatment of facial scarring. J Burn Care Rehabil 24: 91–96

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. St Andrews Centre for Plastic Surgery and Burns, Court Road, Broomfield, Chelmsford, Essex, CM1 7ET, UK

    Peter Dziewulski & Jorge-Leon Villapalos

Authors
  1. Peter Dziewulski
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jorge-Leon Villapalos
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jorge-Leon Villapalos .

Editor information

Editors and Affiliations

  1. 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.

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

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

  3. Department of Hand and Plastic Surgery and Intensive Care, Linköping University Hospital, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  4. Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  5. Brooke Army Medical Center, Fort Sam Houston, TX, USA

    Steven E. Wolf M.D.

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag/Wien

About this chapter

Cite this chapter

Dziewulski, P., Villapalos, JL. (2012). Acute management of facial burns. In: Jeschke, M.G., Kamolz, LP., Sjöberg, F., Wolf, S.E. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0348-7_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-0348-7_19

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0347-0

  • Online ISBN: 978-3-7091-0348-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation