Reconstructive surgery of extensive face and neck burn scars using tissue expanders.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Burn Scar Treatment

Background:

• Neck reconstruction is a critical procedure in cosmetic and reconstructive surgery.
• Extensive facial and neck burn scars present significant reconstructive challenges.
• Tissue expanders offer a potential solution for large-volume tissue deficits.

Purpose of the Study:

• To evaluate the outcomes of using tissue expanders for reconstructing extensive face and neck burn scars.
• To assess the efficacy and patient satisfaction with this reconstructive technique.

Main Methods:

• A prospective study involving 36 patients with extensive facial and neck burn scars.
• Surgical insertion of tissue expanders followed by gradual tissue distension.
• Excision of scar tissue and reconstruction using expanded flaps.

Main Results:

• Rectangular expanders were most commonly used, predominantly in the neck.
• Complications occurred in 13.89% of patients, with prosthesis exposure being most frequent.
• Excellent scar quality was achieved at reconstruction (94.44%) and donor sites (98.18%).
• High patient satisfaction (77.78%) was reported.

Conclusions:

• Tissue expanders are a highly effective method for reconstructing extensive neck and facial burn scars.
• The technique provides desirable aesthetic and functional outcomes.
• Patient satisfaction rates are high, indicating the success of the procedure.