Reconstruction of post–burn facial deformities, using stretched flaps

Keywords: post-burn deformities of the face, cicatricial tissues, stretched flaps, plasty of defects

Abstract

Objective. Improvement of the surgical treatment results in patients with post-burn deformities of the face, using maximal restoration of cutaneous coverings of principal parts with optimal application of stretched tissues in adjacent places.

Materials and methods. Into the investigation were included 37 patients, who were treated in 2009 - 2019 yrs,23 men and 14 women, ageing 10 - 62 yrs old (median age have constituted 25.7 yrs old). For facial defects plasty were applied the stretched frontal flap (5), lateral and lower facial flaps (4), submandibular and submandibularly-cervical (8), cervical (7) and cervical and cervico-brachial flaps (16). In 2 patients with bilateral affection the cervical and cervico-brachial flaps were applied on both sides.

Results. All the flaps applied took the root primarily. During first postoperative 24 h in 4 patients venous congestion in cervical and cervical-brachial flaps was noted, which have disappeared after application of the antiaggregate preparations. Main criteria of estimation of the treatment far remote results were: the completeness of the cicatrices excision, the secondary deformity occurrence and restoration of the face main contours. Far emote results were studied in 17 patients and were estimated as good. In other patients the result is unknown.

Conclusion. Depending on the cicatricial defect localization and presence of unaffected tissues in various anatomical zones of the face and neck, application of the stretched flaps is possible, what permits to obtain a sufficient quantity of viable plastic material with textural properties, which are close to defect. Using stretched flapsin various anatomical zones of face and neck good result was obtained in immediate and far remote periods of observation.

Author Biographies

O. A. Zhernov, Shupyk National Healthcare University of Ukraine, Kyiv

Zhernov Oleksandr Andriiovych, MD, DSci(Med), Professor,
Professor of the Department of Combustiology and Plastic Surgery
Shupyk National Healthcare University of Ukraine, Kyiv
13 Krakivska Str., 02094, Kyiv, Ukraine,
+38 (044) 292 70 68,
+38 (067) 730 60 99
oazhernov@gmail.com
http://orcid.org/0000-0002-5263-5281

G. P. Kozynets, Shupyk National Healthcare University of Ukraine, Kyiv

Kozynets Heorhii Pavlovych, MD, DSci(Med), Professor,
Head of the Department of Combustiology and Plastic Surgery
Shupyk National Healthcare University of Ukraine, Kyiv,
13 Krakivska Str., 02094, Kyiv, Ukraine,
+38 (044) 292 70 68
+38 (097) 391 76 11
juri444@ukr.net
http://orcid.org/0000-0002-0960-2265

References

Lakhani N, Lakhani A. Reconstruction of post burns facial contractures and deformities: an Indian perspective. Int Surg J. 2018;(5):2170-6. doi: 10.18203/2349-2902.isj20182216.

Chow S, Bennett RG. Repair of a Composite Cheek and Nose Defect. Dermatol Surg. 2018 Apr;44(4):576-9. doi: 10.1097/DSS.0000000000000988. PMID: 27893536.

Zhernov OA, Kozynets HP, Kitri M. Suchasni pohliady na roztiahuvannia tkanyn z vlasnym krovoobihom u rekonstruktyvnii khirurhii naslidkiv opikiv. Klinichna khirurhiia. 2018 Apr;85(4):52-6. Ukrainian. doi: 10.26779/2522-1396.2018.04.52.

Qassemyar Q, Havet E, Sinna R. Vascular basis of the facial artery perforator flap: analysis of 101 perforator territories. Plast Reconstr Surg. 2012 Feb;129(2):421-9. doi: 10.1097/PRS.0b013e31822b6771. PMID: 22286424.

Zhernov AO, Staskevych SV. Roztiahnutyi vaskuliaryzovanyi lobovyi klapot v rekonstrukii nosa. Plastic Reconstructive and Aesthetic Surgery. 2015;(3-4):26-31. Ukrainian.

Cass ND, Terella AM. Reconstruction of the Cheek. Facial Plast Surg Clin North Am. 2019 Feb;27(1):55-66. doi: 10.1016/j.fsc.2018.08.007. PMID: 30420073.

Kerdoud O, Aloua R, Slimani F. The deltopectoral flap in full-thickness cheek defect: A case report. Ann Med Surg (Lond). 2021 Jan 18;62:119-122. doi: 10.1016/j.amsu.2021.01.025. PMID: 33520206; PMCID: PMC7819807.

Published
2021-11-28
How to Cite
Zhernov, O. A., & Kozynets, G. P. (2021). Reconstruction of post–burn facial deformities, using stretched flaps. Klinicheskaia Khirurgiia, 88(9-10), 52-55. https://doi.org/10.26779/2522-1396.2021.9-10.52
Section
General Problems of Surgery