Imagen de Portada
Código QR

The classification and treatment algorithm for post-burn cervical contractures reconstructed with free flaps.

Neck contractures after burn produce restrictions in motion and unacceptable aesthetic outcomes. Proper planning and tissue selection is essential to minimize donor site morbidity while optimizing outcomes. A classification system and treatment algorithm aids in achieving this goal. Between December...

Descripción completa

Publicado en:Burns (03054179) Vol. 32; no. 5; pp. 626 - 634
Autores principales: Tsai FC, Mardini S, Chen DJ, Yang JY, Hsieh MS
Formato: Journal Article
Publicado: Elsevier B.V. Aug2006
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106186863&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 106186863
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        03054179
        ILH
      jtl: Burns (03054179)
      issn: 03054179
      maglogo: N
    pubinfo:
      dt: Aug2006
      vid: 32
      iid: 5
      pid: 82545
      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        106186863
        2009247269
        NLM16777339
        106186863
      ppf: 626
      ppct: 8
      formats:
      tig:
        atl: The classification and treatment algorithm for post-burn cervical contractures reconstructed with free flaps.
      aug:
        au:
          Tsai FC
          Mardini S
          Chen DJ
          Yang JY
          Hsieh MS
        affil: Department of Plastic Surgery, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
      sug:
        subj:
          Algorithms
          Burns Surgery
          Contracture Surgery
          Neck Surgery
          Neck Injuries Surgery
          Surgical Flaps
          Adolescence
          Adult
          Child
          Cicatrix Surgery
          Contracture Classification
          Female
          Male
          Middle Age
          Surgery, Reconstructive Methods
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Neck contractures after burn produce restrictions in motion and unacceptable aesthetic outcomes. Proper planning and tissue selection is essential to minimize donor site morbidity while optimizing outcomes. A classification system and treatment algorithm aids in achieving this goal. Between December 1999 and January 2003, 40 burn patients underwent release and reconstruction with free perforator flaps. Neck extensibility and zone of injury were evaluated. Choice of reconstruction was based on available tissue, restriction degree and zones involved. Cervical territories were classified according to movement restrictions and amount of improvement. Reconstructive territories were classified as central above (CA), central below (CB), central above and below (CAB) and lateral (L). Single, split, double and preexpanded free flaps were used for the reconstructions. Maximal gain in motion was noted at 4 weeks and maintained for the average 11 months follow-up. Types of reconstructive territories showed significant effects on range of motion while etiology and time between injury and reconstruction showed no impact on the functional outcome. Classification of neck territories aids in improving outcomes while minimizing donor morbidity. The central above territory, when reconstructed with free flaps, yielded the most rewarding improvement. A classification and treatment algorithm aids in achieving significant improvements in range of neck motion while taking into consideration the donor sites.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N