Microsurgical reconstruction in children's burns

There have been few reports on microsurgical procedures performed on children who have been left with disability and deformity as a result of burn injury. The reality is that whilst there are many children who could benefit from such procedures they do not have access to the resources that can provi...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2006-01, Vol.59 (7), p.679-692
Main Authors: Burd, A., Pang, P.C.W., Ying, S.Y., Ayyappan, T.
Format: Article
Language:English
Subjects:
Adolescent
Arm Injuries - surgery
Biological and medical sciences
Burns
Burns - complications
Burns - surgery
Child
Child, Preschool
Cicatrix, Hypertrophic - etiology
Cicatrix, Hypertrophic - surgery
Contracture - etiology
Contracture - surgery
Female
Foot Injuries - surgery
Humans
Infant
Male
Medical sciences
Microsurgery
Microsurgery - methods
Paediatric
Postoperative Complications
Reconstructive Surgical Procedures - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Thigh - surgery
Tissue Engineering - methods
Traumas. Diseases due to physical agents
Treatment Outcome
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Summary:There have been few reports on microsurgical procedures performed on children who have been left with disability and deformity as a result of burn injury. The reality is that whilst there are many children who could benefit from such procedures they do not have access to the resources that can provide them. Where these resources are available there has been a reluctance to use them partially due to a misconception that such procedures are technically challenging and carry significant risk. This paper presents a series of 21 children in whom 29 microsurgical procedures were performed. There were two failures but in all other cases there was significant improvements in the functional ability and/or the aesthetic appearance of the child. This series includes novel variations on the antero-lateral thigh flap; tissue engineering, dual flap harvest, size and age. Refinements of inset are described to prevent pin-cushioning and linear scar contracture. In selected cases microsurgical reconstruction can produce life long benefits, with minimal surgical and donor site morbidity.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2005.10.021