早期保守去痂延期植皮治疗颜面深度烧伤

目的：探讨颜面部深度烧伤后，预防局部瘢痕增生和畸形的最好治疗方法。方法：颜面部深度烧伤早期，采用保守削痂，延期植皮和双眼睑早期减张，扩张创面立即植皮的处置方式，结果：本组12例患于伤后3周内创面全部愈合。随诊未发现明显瘢痕增生和畸形，面部表情自然，情绪表达充分。结论：应用早期保守去痂延期植皮的方法，可促进全颜面创面尽快修复，减少瘢痕增生和颜面畸形的发生。

Management of deep facial burn with early postburn debridement and delayed skin grafting

Objective To explore optimal methods of the management of deep facial burn, so as to prevent the development of facial scar hypertrophy and deformity. Methods Partial tangential excision, delayed skin grafting, early relief of the eyelid eschar and immediate skin grafting were carried out in burn patients with deep facial burn during the early postburn stage. Results The wounds in 12 cases had healed completely within 3 postburn weeks(PBW). Scar hypertrophy and facial deformity were not observed during the follow-up. All the patients could express natural facial expressions. Conclusion Facial deep burn wound could be managed as soon as possible with early partial tangential excision and delayed skin grafting. As a result, facial scar hypertrophy and deformity could be avoided.