Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara, Turkey.
Department of General Surgery, Baskent University, Ankara, Turkey.
J Burn Care Res. 2021 Mar 4;42(2):338-341. doi: 10.1093/jbcr/iraa142.
Escharotomy is the relaxation of an eschar through longitudinal or horizontal incisions in order to protect regional perfusion. In peripheral areas, such as limbs, trunk, and neck, eschar pressure poses significant issues; it causes circulatory disorder in limbs and potential limb loss, inadequate thoracic expansion in the thorax, and perfusion and oxygenation problems in the neck. To prevent complications, a basic rule of burn surgery is to perform escharotomy incisions quickly and without hesitation. However, the face is not an area in which eschar formation is commonly seen due to its robust vascular supply and patients' protection reflex. Although descriptive drawings and guides for facial escharotomy have yet to be published, relaxation of axial arteries in terms of compression from eschar formation may be needed. Here, we present a case of escharotomy based on facial subunit principles.
扩创术是通过纵向或横向切口对焦痂进行松解，以保护区域性灌注。在四肢、躯干和颈部等外周区域，焦痂压力会造成严重问题；它会导致四肢循环障碍，甚至可能导致肢体丧失，胸部扩张不足，以及颈部灌注和氧合问题。为了预防并发症，烧伤外科的基本规则是迅速而毫不犹豫地进行扩创术切口。然而，由于面部有丰富的血管供应和患者的保护反射，通常不会形成焦痂。虽然尚未发表关于面部扩创术的描述性绘图和指南，但可能需要缓解由于焦痂形成而对轴性动脉造成的压迫。在此，我们根据面部亚单位原则介绍了一个扩创术病例。
