Surgical treatment of post-burn defects of face and calvaria

P.V. Sarygin

Vishnevsky National Medical Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education;
RUDN University

S.V. Popov

Russian Medical Academy of Continuous Professional Education

S.A. Ukhin

Vishnevsky National Medical Research Center of Surgery

Surgical treatment of post-burn defects of face and calvaria

Authors:

P.V. Sarygin, S.V. Popov, S.A. Ukhin

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(8): 17‑22

DOI: 10.17116/hirurgia202008117

Downloaded: 80

To cite this article:

Sarygin PV, Popov SV, Ukhin SA. Surgical treatment of post-burn defects of face and calvaria. Pirogov Russian Journal of Surgery. 2020;(8):17‑22. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202008117

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To evaluate the effectiveness of surgical treatment of post-burn defects of face and cranial vault.

MATERIAL AND METHODS

There were 65 patients with post-burn defects of face and cranial vault. Mean age of patients was 38.5 years (min 17 years, max 67 years). Soft tissue reconstruction was performed by using of local tissues, combined plasty, balloon dermotension aand free flaps on microvascular anastomoses. Osteoectomy and sequestrectomy were carried out if it was necessary. Implants were used to eliminate through skull defects.

RESULTS

Balloon dermotension with expanders and plasty with local tissues ensure skull reconstruction in the vast majority of patients. Through bone defects required reconstruction of the cranial vault with various implants.

CONCLUSION

The proposed surgical approach ensures correction of severe functional and cosmetic disorders caused by post-burn skull defects, elimination of bone damage, restoration of normal skin of the face and cranial vault.

Keywords:

post-burn skull defects

reconstructive surgery

Authors:

P.V. Sarygin

Vishnevsky National Medical Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education;
RUDN University

S.V. Popov

Russian Medical Academy of Continuous Professional Education

S.A. Ukhin

Vishnevsky National Medical Research Center of Surgery

Received:

19.08.2019

Accepted:

11.11.2019

List of references:

Bogdanov SB, Dikarev AS, Terman YA, Bogdanova YA. Possible applications of skin autografts and dermal-fat grafts in eliminating defects and deformations of facial scar. Annaly plasticheskoi, rekonstruktivnoi i ehsteticheskoi khirurgii. 2016;4:32-40. (In Russ.).
Bogdanov SB, Porhanov VA, Polyakov AV, Vinogradov RA, Dikarev AS, Zabunyan GA, Bogdanova YuA, Gilevich IV, Matyukha SA. Improving surgical technologies of plasty by greater autoomentum for the treatment of the head and face defects. Annaly plasticheskoi, rekonstruktivnoi i ehsteticheskoi khirurgii. 2018;2:10-17. (In Russ.).
Shapovalov SG. Expander dermotension in rehabilitation system for patients after burns. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh. 2010;4-1:24-31. (In Russ.).
Duan R, Shi J, Tremp M, Oranges CM, Gao B, Xie F, Li Q. A penetrating facial wound with burn injury. J Craniofac Surg. 2018;29(7):1900-1902. https://doi.org/10.1097/scs.0000000000004923
Jadhav NC, Sharma RK. Post-electrical burn calvarial reconstruction using extracorporeal radial forearm flap and polymethylmethacrylate implant--24-year follow-up. J Craniofac Surg. 2014;25(2):718. https://doi.org/10.1097/SCS.0000000000000487
Liu A, Pribaz J. Local Flaps for Burned Face. In: Hyakusoku H, Orgill DP, Teot L, Pribaz JJ, Ogawa R, eds. Color Atlas of Burn Reconstructive Surgery. Berlin, Heidelberg: Springer; 2010. https://doi.org/10.1007/978-3-642-05070-1_22
Peterson J, Levi B, Lisiecki JL. Face Burn Reconstruction (Cheek, Nose, and Lip). In: Chang J, eds. Global Reconstructive Surgery. Edinburgh, London, New York, Oxford, Philadelphia, St Louis, Sydney: Elsevier; 2019;248-254. https://doi.org/10.1016/B978-0-323-52377-6.00031-8
Porhanov VA, Bogdanov SB, Gilevich IV, Fedorenko TV, Kolomiyceva EA, Bogdanova YA. New approaches for full-thickness grafting of the face. Ortopediya, travmatologiya i vosstanovitel’naya khirurgiya detskogo vozrasta. 2017;5(4):68-73. (In Russ.). https://doi.org/10.17816/ptors5468-73
Yarikov AV, Fraerman AP, Leonov VA, Stolyarov II, Gunkin IV, Tsygankov AM. Skull defect surgery: a review of current techniques, materials and additive technologies. Amurskii meditsinskii zhurnal. 2019;4:65-77. (In Russ.).
Cho JY, Jang YC, Hur GY, Koh JH, Seo DK, Lee JW, Choi JK. One stage reconstruction of skull exposed by burn injury using a tissue expansion technique. Arch Plast Surg. 2012;39(2):118-123. https://doi.org/10.5999/aps.2012.39.2.118
Golpanian S, Kassira W, Habal MB, Thaller SR.Treatment Options for Exposed Calvarium Due to Trauma and Burns. J Craniofac Surg. 2017;28(2):318-324. https://doi.org/10.1097/scs.0000000000003310
Jadhav CN, Kumar Sharma R. Bipedicled scalp flaps for reconstruction of high-tension electric burns of calvarium. J Craniofac Surg. 2014;25(5):406-408. https://doi.org/10.1097/SCS.0000000000000886

Close metadata