Microsurgical Flaps for the Treatment of Burn Patients
Main Article Content
Abstract
The treatment of burn patients poses unique challenges, both in the acute and delayed setting. Although partial-thickness skin grafting and, to a lesser extent, local tissue rearrangement form the mainstay of burn wound management, the literature suggests that free tissue transfer can be used successfully in select cases (either in the acute or delayed setting). The most common indication for early free tissue transfer in burn surgery is to salvage an extremity when the injury exposes vital structures (neurovascular bundles, tendons, joint spaces, bones). Most free flap reconstructions are used in the delayed setting, often to release scar contracture and optimize return to function.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Ziegler B, Hundeshagen G, Warszawski J, Gazyakan E, Kneser U, Hirche C. Implementation and Validation of Free Flaps in Acute and Reconstructive Burn Care. Medicina. 2021;57(7):718. https://doi.org/10.3390/medicina57070718.
II. Alessandri-Bonetti M, Kasmirski JA, Liu HY, et al. Impact of Microsurgical Reconstruction Timing on the Risk of Free Flap Loss in Acute Burns: Systematic Review and Meta-Analysis. Plastic & Reconstructive Surgery Global Open. 2024;12(8):e6025. https://doi.org/10.1097/gox.0000000000006025.
III. Bonetti MA, Egro FM. The Role of Microsurgery in Burn Surgery. Clinics In Plastic Surgery. 2024;51(3):399-408. https://doi.org/10.1016/j.cps.2024.02.005.
IV. Pessoa Vaz, M., Brandão, C., Meireles, R., Brito, I. M., Ferreira, B., Pinheiro, S., Zenha, H., Ramos, S., Diogo, C., Teles, L., Cabral, L., & Lima, J. (2018). The role of microsurgical flaps in primary burn reconstruction. Annals of burns and fire disasters, 31(3), 233–237
V. Ibrahim A, Skoracki R, Goverman J, Atiyeh B. Microsurgery in the burn population – A review of the literature. ResearchGate. diciembre 2015. https://www.researchgate.net/publication/282377411.
VI. Arellano JA, Alessandri-Bonetti M, Liu HY, Pandya S, Egro FM. Outcomes of Muscle versus Fasciocutaneous Free Flap Reconstruction in Acute Burns: A Systematic Review and Meta-analysis. Plastic & Reconstructive Surgery Global Open. 2024;12(8):e6027. https://doi.org/doi:10.1097/gox.00000000000060.