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Partial excision of residual burn lesions
L H Engrav1, J R Gottlieb, S P Millard
1Division of Plastic Surgery, University of Washington, Seattle 98195.
The Journal of Burn Care & Rehabilitation
|September 1, 1987
Summary
Partial excision improves the appearance of hypertrophic burn scars and donor sites. However, this surgical option is less effective for mature scars with altered pigmentation or texture.
Area of Science:
- Plastic Surgery
- Dermatology
- Burn Reconstruction
Background:
- Burn injuries frequently result in significant scarring and cosmetic deformities.
- Traditional treatments like total excision or reconstructive surgery are not always suitable for all patients.
- Partial excision offers a less invasive alternative for improving scar appearance.
Purpose of the Study:
- To evaluate the efficacy of partial excision for various types of post-burn lesions.
- To determine which scar types benefit most from partial excision surgery.
Main Methods:
- Retrospective review of 92 partial excision procedures performed between 1981 and 1986.
- Analysis of outcomes in 25 patients with different types of burn scars.
Main Results:
- Partial excision significantly improved the appearance of hypertrophic donor sites, skin grafts, and hypertrophic scars.
- Partial excision was not successful in improving mature scars with altered pigmentation or texture.
Conclusions:
- Partial excision is a valuable surgical option for improving hypertrophic burn scars and donor sites.
- This technique is not recommended for mature scars characterized by altered pigmentation or texture.