Corrections of Contractures in Patients Surviving Very Extensive Deep Burns
In recent years, along with significant advances in the management of burns, more and more patients have survived the ravages of very extensive deep burns. As a result, an increasing number of people are in urgent need of plastic and reconstructive surgery because of their multiple scar contractures, which either seriously hamper their daily activities or cause disfigurements so grotesque that they are afraid of going outdoors. On the other hand, these patients usually lack virgin donor sites to donate entirely normal skin for repair purposes. In addition, it is often very hard to establish peripheral venous lines because of the deep burns which have destroyed many superficial veins, rendering the replacement of fluid and blood lost during operations quite difficult. Another frequently encountered problem is the difficulty in inserting an endotracheal tube for anesthesia due to chin-neck or even chin-chest adhesions. All the four patients who came into our hands for the correction of their scar contractures had the above features. A retrospective study was made on them, in the hope that some useful lessons could be derived from it.
KeywordsDonor Site Skin Graft Brachial Plexus Block Plastic Operation Deep Burn
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