Beschreibung:
<jats:p>The goal of burn reconstruction should be to preserve,
restore, maintain function, and improve appearance
so the patient can be reinserted to society. The
major problem after burn is hypertrophic scar and
contractures. Prevention starts early during the acute
phase of the injury and continues to the rehabilitation
period. Early excision and grafting improves skin
quality and decreases scar hypertrophic formation.
The use of splints, pressure garment and rehabilitation
may help to prevent contractures. Burn contractures
are tight and are due to a shortened scar that limits
joint movement. Burn contracture needs to be released
in several important areas of the body. Surgical
procedures were performed in the acute phase to
correct ectropion, microstomia, and to release burn
scar contractures in the neck, axilla, and hand.
Surgeries began 6 to 12 months after discharge and
the purpose was to decrease hypertrophic scar and
release contractures. Ablative fractional CO2
laser has revolutionized the scar treatment, decreasing the
thickness of the scar, and improving mobility in the
patients. We review the surgical procedures performed
by plastic and reconstructive surgery during the acute
and post-acute burn phase.</jats:p>