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Escharotomy for the Face: Facial Aesthetic Subunit Principle-Based Approach
Burak Ozkan1, Nilgun M Ertas1, Cagri A Uysal1
1Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara, Turkey.
Summary
Facial escharotomy, though rare, may be necessary to restore perfusion. This case report details a novel approach using facial subunit principles for this critical burn surgery intervention.
Area of Science:
- Plastic Surgery
- Burn Care
- Surgical Innovation
Background:
- Escharotomy is crucial for relieving circumferential burn eschar pressure, preventing complications like limb loss and respiratory compromise.
- Standard escharotomy guidelines focus on limbs, trunk, and neck, areas prone to eschar formation and its detrimental effects on perfusion.
- Facial eschar formation is uncommon due to rich vascularity and protective reflexes, lacking established surgical guidelines.
Observation:
- A rare case necessitated facial escharotomy due to severe eschar formation.
- The procedure aimed to decompress critical facial structures and restore vascular perfusion.
- Facial subunit principles were adapted for precise incision planning.
Findings:
- Successful facial escharotomy was performed, relieving eschar pressure.
- The intervention protected regional perfusion and prevented further complications.
- Application of facial subunit principles guided the surgical approach.
Implications:
- This case highlights the potential need for facial escharotomy in specific burn scenarios.
- Adapting surgical techniques, like using facial subunit principles, can be vital for complex cases.
- Further research and documentation of facial escharotomy techniques are warranted for burn management.
