EXTERNAL FIXATION OF ENDOTRACHEAL TUBES WHILE SKIN GRAFTING SEVERE BURNS OF THE FACE

1978 ◽  
Vol 62 (5) ◽  
pp. 776
Author(s):  
Reid H. Hansen ◽  
John P. Remensnyder ◽  
Stephen R. Lewis
Keyword(s):  
External Fixation ◽  
Skin Grafting ◽  
Endotracheal Tubes ◽  
Severe Burns ◽  
The Face

Reconstitution of Basement Membrane after ‘Sandwich-Technique’ Skin Grafting for Severe Burns Demonstrated by Immunohistochemistry

1998 ◽  
Vol 19 (3) ◽  
pp. 189-202 ◽  
Author(s):  
Raymund E. Horch ◽  
Ovidiu Corbei ◽  
Brigitte Formanek-Corbei ◽  
Beate Brand-Saberi ◽  
Wofgang Vanscheidt ◽  
...  
Keyword(s):  
Basement Membrane ◽  
Skin Grafting ◽  
Sandwich Technique ◽  
Severe Burns

scholarly journals Fracture of Proximal Humerus & Shaft Managed With Closed Reduction & External Fixation by Joshi External Stabilisation System (Jess) – A Case Report

2018 ◽  
Vol 5 (1) ◽  
pp. 54-58
Author(s):  
Prakriti Raj Kandel ◽  
Rajiv Baral ◽  
Abhishek Kumar Thakur ◽  
Gyaneshwar Prasad Singh ◽  
Laxmi Pathak
Keyword(s):  
External Fixation ◽  
Closed Reduction ◽  
Proximal Humerus ◽  
Road Traffic ◽  
Skin Grafting ◽  
Shaft Fracture ◽  
Left Shoulder ◽  
Medical Sciences ◽  
Lacerated Wound ◽  
Fracture Of Proximal Humerus

We are presenting a case of proximal humerus& shaft fracture in a 50 year old female. She sustained injury on her left upper limb in a road traffic accident. It was managed with closed reduction & external fixation by Joshi External Stabilisation System (JESS). Lacerated wound over her left shoulder & arm region was managed with skin grafting. The post-operative period was uneventful. Journal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, Page: 54-58

Skin grafting in severe burns

1939 ◽  
Vol 43 (2) ◽  
pp. 626-636 ◽  
Author(s):  
Earl C. Padgett
Keyword(s):  
Skin Grafting ◽  
Severe Burns

Efficacy of two-stage Meek micrografting in patients with severe burns

2021 ◽  
Author(s):  
Gaozhong Hu ◽  
Peng Zhang ◽  
Yan Chen ◽  
Zhiqiang Yuan ◽  
Huapei Song
Keyword(s):  
Survival Rate ◽  
Skin Graft ◽  
Laboratory Data ◽  
Length Of Hospital Stay ◽  
Skin Grafting ◽  
Two Stage ◽  
Cumulative Survival ◽  
Severe Burns ◽  
Group A ◽  
Group B

Abstract Background Burns are common injuries associated with high disability and mortality. In recent years, Meek micrografting technique has been gradually applied for the wound treatment of severe burns. However, the efficacy of two-stage Meek micrografting in patients with severe burns keeps unclear. Methods The data of eligible patients with severe burns who were admitted to Southwest Hospital of the Third Military Medical University from January 2013 to December 2019 were retrospectively analysed. The patients were divided into two groups according to the Meek micrografting method: one-stage skin grafting (group A) and two-stage skin grafting (group B). The baseline data, survival rate of skin graft, length of hospital stay, treatment costs, laboratory data and cumulative survival were statistically analysed. Results 127 patients (91 in group A and 36 in group B) were included in the study. There were no significant difference in the baseline data, the length of hospital stay and treatment costs between the two groups. The survival rate of skin graft was higher in group B. Total protein and albumin level, platelet count in group B were superior to those in group A, while there were no difference in other laboratory data (prealbumin, serum creatinine, urea nitrogen, cystatin C, blood cultures, wound exudate cultures) and cumulative survival between the two groups. Conclusion Our results demonstrated that staged Meek micrografting could improve the survival rate of skin graft, by reducing the risks of hypoproteinaemia, hypoalbuminemia and low platelet counts after adequate resuscitation.

scholarly journals Management of facial burns

2020 ◽  
Vol 8 ◽  
Author(s):  
David G Greenhalgh
Keyword(s):  
Skin Grafting ◽  
Healing Time ◽  
The Body ◽  
Full Thickness ◽  
Partial Thickness ◽  
Facial Burns ◽  
The Face ◽  
Partial Thickness Burns

Abstract Burns to the face affect a part of the body that cannot be hidden and thus exposes potentially major changes in appearance to society. Therefore, it is incumbent upon the caregiver to optimize healing and minimize scarring. The goal for partial-thickness burns is to have them heal within 2–3 weeks to minimize healing time. For full-thickness burns there needs to be strategies to optimize the outcomes for skin grafting and minimize scarring. The goal of this review is to discuss the best way to improve the outcomes of these devastating injuries.

scholarly journals Serial Excision- an Aesthetically Pleasing Way for Removal of Large Cutaneous Lesions on the Face

2013 ◽  
Vol 1 (1) ◽  
pp. 14-16
Author(s):  
Firdous Quader Minu ◽  
Muhammad Hasibur Rahman ◽  
Rubaiya Ali ◽  
Md Asifuzzaman ◽  
Sayeed Ahmed Siddiky
Keyword(s):  
Cutaneous Lesion ◽  
Skin Grafting ◽  
Patient Needs ◽  
Aesthetic Outcome ◽  
Cutaneous Lesions ◽  
Community Based ◽  
Different Types ◽  
The Face ◽  
The Aesthetic ◽  
Serial Excision

Face is a very prominent part of our body. It is the first feature that we notice when we meet someone. When there is a large cutaneous lesion /scar on the face it stands out, and can make a person very self conscious. So it becomes a source of concern and embarrassment for the person involved. As such when a patient with this type of problem presents to a cosmetic surgeon, he has to take great care as to how it can be removed and what will be the aesthetic outcome of the treatment. This is especially important if the patient is young. Different types of flaps like nasolabial flaps, forehead flaps, deltopectoral flaps etc. are commonly used for reconstruction of defects following excision of large lesions. Sometimes tissue expanders are also used. Of course skin grafting is probably the easiest way to cover large areas when flaps cannot be used. But all of these procedures leave big scars which are often not acceptable to the patients. We have found that serial excision is a good way of removal of large lesions or scars especially when it involves the face. Although the patient needs two or more sittings for completion of the procedure, the final outcome is much more acceptable to the patient. DOI: http://dx.doi.org/10.3329/cbmj.v1i1.13823 Community Based Medical Journal Vol.1(1) 2012 14-16

547 Face Escharotomy in an Acute Deep Facial Burn

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S122-S122
Author(s):  
Burak Ozkan ◽  
Cagri A Uysal ◽  
Nilgun Markal Ertas ◽  
Mehmet Haberal
Keyword(s):  
Subcutaneous Fat ◽  
Skin Grafting ◽  
Vascular Supply ◽  
Fluid Replacement ◽  
Facial Artery ◽  
Iron And Steel ◽  
Burn Surgery ◽  
The Face ◽  
Peripheral Areas ◽  
Total Body

Abstract Introduction Escharotomy is the relaxation of the eschar through longitudinal or horizontal incisions in order to protect the region’s deep perfusion. The pressure that it will create in the peripheral areas such as hard eschar limb, trunk, and neck causes the circulatory disorder in the limb and the risk of limb loss, inadequate thoracic expansion in the thorax and vital perfusion and oxygenation problems in the neck. It is one of the most basic rules of burn surgery to perform the determined escharotomy incisions very quickly and without hesitation to prevent complications. In this report, a case of facial subunit principles based escharotomy is presented. Methods 42-year-old man felt into hot sand while working in an iron and steel factory. Patient was transferred to our burn unit for corresponding 35% of the total body surface burns on the face, neck and upper extremities. The patient was consulted to plastic surgery after the initiation of fluid replacement therapy, insertion of a chest tube for hemothorax, and tracheostomy. The patient had massive edema in the face and neck (Figure 1). There was no capillary fill in the facial skin. Doppler ultrasound examination showed bilateral weak facial artery, temporal superficial artery, supraorbital and trochlear artery flow. Results A decision was made to perform escharotomy to relieve arterial traces at 10th hour of the injury. Bilateral nasolabial, infraorbital rim, superior glabellar, temporal incisions were performed from eschar to subcutaneous fat layer in accordance with aesthetic subunits (Figure 2). Relief of the base perfusion during escharotomy was observed and bleeding was observed at the base of the incision. Doppler examination was repeated after escharotomy. The facial edema rapidly regressed. Deepitelization and reepithelization was observed in the areas with hair roots within 10 days and the patient was operated on the 15th day of hospitalization for debridement and skin grafting. Eschars were debrided and covered with split thickness skin grafts according to aesthetic subunit principles. Post-operative image of the patient seen (Figure 3). Conclusions Face is not an area in which eschar formation commonly seen because of its robust vascular supply and protection reflex of the patients. Although descriptive drawings and guides for facial escharotomy has not been published yet, relaxation of axial arteries in terms of compression due to eschar formation may be needed. In this report, a case of facial subunit principles based escharotomy is presented and acceptable results were achieved.

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