The use of pedicled expanded flaps for aesthetic resurfacing of the burned face |
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Authors: | Hoekstra K Hudson D A Smith A W |
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Affiliation: | Department of Plastic and Reconstructive Surgery, Universitas Hospital, Bloemfontein and Groote Schuur Hospital, Cape Town, South Africa. |
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Abstract: | Reconstruction of extensive, deep burns of the face is a challenging problem in plastic surgery. The authors report the use of tissue expanders placed in the upper chest for facial resurfacing after burn injuries in 4 patients. The expanders are hyperinflated. The flap is then advanced upward to resurface an aesthetic unit of the face with the pedicle intact. The pedicle is divided 2 weeks later. The method of reconstruction allows a large area of facial resurfacing to be performed without fear of flap loss or flap retraction impairing the cosmetic result. This technique has the disadvantage of being a staged procedure and cannot be performed in those with burns of the upper chest. |
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