Head and Neck Reconstruction
Management of head and neck burns involves acute and intermediate phases. Acutely, the goals are establish a secure airway and treat life-threatening injuries. Then, optimize nutrition, assess extent of the…
Hand Reconstruction After Burn Injury
Frequently burns of the hand occur as part of a major thermal injury, but appropriate treatment of the hands has high priority, because even small burns of the hand may…
Tissue Rearrangements
The z-plasty is a highly versatile standard technique of reconstructive burn surgery. Variations of the classic z-plasty with limbs of equal length at 60° angles can accommodate specific reconstruction needs….
Peripheral Neuropathy and Nerve Compression Syndromes in Burns
Peripheral neuropathy and nerve compression syndromes lead to substantial morbidity following burn injury. Patients present with pain, paresthesias, or weakness along a specific nerve distribution or experience generalized peripheral neuropathy….
Fat Grafting for Burn, Traumatic, and Surgical Scars
Fat grafting provides a reliable modality with expanding usefulness in reconstructive plastic surgery. Owing to its mechanical and theorized regenerative properties, adipose tissue can improve scar qualities and scar related…
A Systematic Review of the Effectiveness of Laser Therapy for Hypertrophic Burn Scars
The objective of this systematic review was to assess the effectiveness of laser therapy for the treatment of hypertrophic burn scars. Improvements in scar symptoms following laser treatment were reported…
Laser Modulation of Hypertrophic Scars
In this review, the authors discuss the use of laser photothermolysis and laser resurfacing in the management of hypertrophic burn scars. They provide details regarding preoperative selection, intraoperative decision making,…
Principles of Burn Pain Management
This article describes pathophysiology of burn injury–related pain and the basic principles of burn pain management. The focus is on concepts of perioperative and periprocedural pain management with extensive discussion…
Heterotopic Ossification and Hypertrophic Scars
Burns and trauma cause superficial and deep soft tissue wounds that cannot heal to the preinjury state. Healing requires cell proliferation and differentiation into the injured tissue type, laying down…
Rehabilitation in the Acute Versus Outpatient Setting
Rehabilitation of patients with burn injuries aims to restore strength, coordination, and mobility as closely to normal as possible and should begin immediately after initial admission. In the acute phase,…
