Foyatier J L, Comparin J P, Boulos J P, Bichet J C, Jacquin F
Département de chirurgie plastique et centre des brûlés, centre hospitalier St-Joseph St-Luc, France.
Ann Chir Plast Esthet. 2001 Jun;46(3):210-26. doi: 10.1016/s0294-1260(01)00021-8.
The deep burns of the face can lead to horrible scars functionally and aesthetically. Treatment of these scars need several surgical interventions frequently and during many years. In our region we deal with this type of wounds as team work, multidisciplinary approach carrying out many process starting by emergency treatment of acute burns till the social rehabilitation. The expansion technique was great help in improving the shape of scars, by using the expanding skin as full thickness grafts. Reconstruction of the anatomical units and application of aesthetic techniques (like rhinoplasty, lifting, tattooing and autologous fat injections) participate equally in improving the quality of results. Many examples of treatments of burns scars are shown.
面部深度烧伤会在功能和美观方面导致可怕的疤痕。这些疤痕的治疗通常需要多次手术干预,且持续多年。在我们地区,我们以团队协作、多学科方法来处理这类伤口,开展从急性烧伤的紧急治疗到社会康复的许多流程。扩张技术通过将扩张后的皮肤用作全厚皮片移植,对改善疤痕形状有很大帮助。解剖单位的重建以及美学技术(如鼻整形术、提拉术、纹身和自体脂肪注射)的应用同样有助于提高治疗效果的质量。文中展示了许多烧伤疤痕治疗的实例。