Dantzer E, Dias Garson M T, Queruel P
Service des Brûlés, Hôpital Léon Bérard, Hyères.
Ann Chir Plast Esthet. 1995 Jun;40(3):293-301.
The face is one of the areas of the body most frequently affected by burns. Pressure therapy maintains facial scars until maturation is achieved to present hypertrophic scars or contractures. Elastic pressure garments are usually used, but they do not provide adequate pressure on areas such as naso-labial folds or labio-chin folds. Silicone splints are therefore added under this elastic face mask. A rigid transparent face mask or silicone face mask allows better management of facial scars. A positive plastic mold is obtained from a negative alginate mold of the patient's face. A high temperature plastic is heated and stretched on to the positive mold. The mask is worn continuously excepted when bathing eating and rehabilitation. Follow up is necessary to prevent complications and to revise the mask as the scars change. Nostril and oral commissures are treated with inserts which maintain adequate size or corrected contractures. Satisfactory results can be obtained with cooperative patients.
面部是身体上最常受到烧伤影响的部位之一。压力疗法可防止面部疤痕增生，直至疤痕成熟，避免出现增生性疤痕或挛缩。通常使用弹性压力衣，但它们在鼻唇沟或唇颏沟等部位无法提供足够的压力。因此，在这种弹性面罩下添加硅胶夹板。刚性透明面罩或硅胶面罩能更好地处理面部疤痕。通过患者面部的海藻酸盐阴模获取阳模。将高温塑料加热并拉伸到阳模上。除了洗澡、吃饭和康复训练时，面罩需持续佩戴。有必要进行随访，以预防并发症，并随着疤痕的变化对面罩进行调整。鼻孔和口角用插入物进行处理，以保持适当的尺寸或矫正挛缩。对于配合治疗的患者，可以取得满意的效果。
