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Related Experiment Videos

Tissue-expanded visor flap in burn surgery

D D Datubo-Brown1, K N Khalid, P L Levick

  • 1Burns and Plastic Surgery Unit, Birmingham Accident Hospital, England.

Annals of Plastic Surgery
|February 1, 1994
PubMed
Summary
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Tissue-expanded visor flap reconstruction effectively restored masculine appearance in adult males with severe lower facial burn scars, addressing mustache and beard loss. This innovative technique minimizes donor site issues and hair loss compared to traditional methods.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Burn Scar Management

Background:

  • Severe lower facial burn scars can lead to significant aesthetic and functional deficits in adult males, including loss of facial hair and an undesirable 'boyish' appearance.
  • Traditional reconstructive methods for such defects may involve donor site morbidity and alopecia, impacting overall patient outcomes.

Observation:

  • Three adult male patients with severe postburn scarring of the lower face, resulting in loss of mustache and beard, were treated.
  • The reconstructive approach utilized a tissue-expanded visor flap.

Findings:

  • The tissue-expanded visor flap reconstruction successfully restored a masculine appearance in all three patients.
  • Complications were minimal and temporary, including moderate hematoma and minor hair-bearing skin loss. Unwanted hair growth direction was also noted.

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  • The procedure demonstrated adequate blood supply, confirming its safety and efficacy.

    • Implications:

    • Tissue-expanded visor flap reconstruction offers a safe and effective solution for correcting severe lower facial deformities caused by burns in adult males.
    • This technique significantly improves patient quality of life by restoring a masculine appearance and virtually eliminates the donor site morbidity and alopecia associated with the classic visor flap.