Late Management of Burns
June 2002
in “
Surgery (oxford)
”
TLDR The document says that treating burns late focuses on improving function, appearance, and helping patients return to normal life, using both non-surgical and surgical methods.
The 2002 document outlines the late management of burns, focusing on restoring function, improving cosmetics, and aiding social and professional reintegration for patients. It details the use of conservative treatments like scar management, pressure garments, and physiotherapy, as well as surgical interventions such as contracture release, skin grafts, flaps, and tissue expansion. For craniofacial reconstruction, it discusses the use of bone grafts, implants, and fat transfer to correct deformities and restore facial contours, particularly in children who may experience developmental issues due to scar rigidity. Additionally, it mentions the use of prostheses and the necessity of amputations in severe cases, with subsequent rehabilitation to address unreconstructable deformities. Hair restoration techniques such as tissue expansion, flaps, or hair grafting are also included in the management strategies.
