Reconstruction Post Burn: Difference between revisions

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== Introduction ==
After a severe burn trauma, often acute burn surgery is needed in order to provide a foundation for the affected skin areas to heal. However, after treating the burned areas under acute surgery, wounds do not always heal well within in the following weeks or months. In cases where the first surgery was either not very effective or scar tissue has build up, reconstructive burn surgery may be indicated. This option is often used to "improve both the function and the cosmetic appearance of burn scars".<ref>Reconstructive burn sugery. Michigan Medicine, University of Medicine. Available at:https://www.uofmhealth.org/conditions-treatments/surgery/plastic/burn-reconstructive (accessed 30. November 2020).  </ref> Scars will thus be less prominent and apparent which is a major influencing factor for the psychological affect burn wounds can have on a person.<ref name=":0">Post Burn Reconstruction. Nora Nugent. Available from: https://www.noranugent.co.uk/post-burn-reconstruction/ (accessed 30 November 2020).</ref> Through the procedure the affected skin will allow for more flexibility and movement capacity, which may, depending on the location of the burned area, also improve joint flexibility.
== Treatment procedures ==
Reconstructive burn surgery is undertaken by plastic surgeons often with specialisation in reconstructive burn surgery. Skin, tendons and other tissues that were damaged through the burn can be replaced or reconstructed.
=== Alpoecia (hair loss) treatment after burns ===
If the skin of the scalp was damaged by a burn trauma, hair follicles can be destroyed which results in hair loss. In order to recreate hair growth, healthy, undamaged skin is stretched and transplanted.<ref name=":0" /> Hair transplantation is another treatment possibility. For this procedure hair follicles are taken from healthy parts of the scalp to the damaged skin.
=== Breast and nipple-areola reconstruction ===
Breast and especially nipple-areola reconstruction surgery can be  performed in various techniques and is subject to extensive research, since surgery does not always significantly improve the outcome.<ref>Postburn reconstruction of nipple-areola complex. Motamed S, Davami B. Burns 2005; 31:1020-24.</ref>
== Implications for physiotherapy ==

Revision as of 21:02, 30 November 2020

This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (30/11/2020)

Introduction[edit | edit source]

After a severe burn trauma, often acute burn surgery is needed in order to provide a foundation for the affected skin areas to heal. However, after treating the burned areas under acute surgery, wounds do not always heal well within in the following weeks or months. In cases where the first surgery was either not very effective or scar tissue has build up, reconstructive burn surgery may be indicated. This option is often used to "improve both the function and the cosmetic appearance of burn scars".[1] Scars will thus be less prominent and apparent which is a major influencing factor for the psychological affect burn wounds can have on a person.[2] Through the procedure the affected skin will allow for more flexibility and movement capacity, which may, depending on the location of the burned area, also improve joint flexibility.

Treatment procedures[edit | edit source]

Reconstructive burn surgery is undertaken by plastic surgeons often with specialisation in reconstructive burn surgery. Skin, tendons and other tissues that were damaged through the burn can be replaced or reconstructed.

Alpoecia (hair loss) treatment after burns[edit | edit source]

If the skin of the scalp was damaged by a burn trauma, hair follicles can be destroyed which results in hair loss. In order to recreate hair growth, healthy, undamaged skin is stretched and transplanted.[2] Hair transplantation is another treatment possibility. For this procedure hair follicles are taken from healthy parts of the scalp to the damaged skin.

Breast and nipple-areola reconstruction[edit | edit source]

Breast and especially nipple-areola reconstruction surgery can be performed in various techniques and is subject to extensive research, since surgery does not always significantly improve the outcome.[3]

Implications for physiotherapy[edit | edit source]

  1. Reconstructive burn sugery. Michigan Medicine, University of Medicine. Available at:https://www.uofmhealth.org/conditions-treatments/surgery/plastic/burn-reconstructive (accessed 30. November 2020).
  2. 2.0 2.1 Post Burn Reconstruction. Nora Nugent. Available from: https://www.noranugent.co.uk/post-burn-reconstruction/ (accessed 30 November 2020).
  3. Postburn reconstruction of nipple-areola complex. Motamed S, Davami B. Burns 2005; 31:1020-24.