Journal of the Korean Burn Society (대한화상학회지)

Korean Burn Society (대한화상학회)
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Analysis on Usefulness of Various Free Flaps for Primary Reconstruction on Fourth Degree Burn

4도 화상에서 다양한 유리피판술을 이용한 1차 재건 방법의 유용성 고찰

  • Lee, Ju Ho (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Shin, Se Ho (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Hyeon Jo (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Seong Joo (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Seong Hwan (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Suh, In Suck (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Jae Hyun (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
  • 이주호 (한림대학교 의과대학 강남성심병원 성형외과학교실) ;
  • 신세호 (한림대학교 의과대학 강남성심병원 성형외과학교실) ;
  • 김현조 (한림대학교 의과대학 강남성심병원 성형외과학교실) ;
  • 이성주 (한림대학교 의과대학 강남성심병원 성형외과학교실) ;
  • 김성환 (한림대학교 의과대학 강남성심병원 성형외과학교실) ;
  • 서인석 (한림대학교 의과대학 강남성심병원 성형외과학교실) ;
  • 김재현 (한림대학교 의과대학 강남성심병원 성형외과학교실)
  • Received : 2020.10.24
  • Accepted : 2020.11.03
  • Published : 2020.12.31
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Abstract

Purpose: A fourth degree burn is a full-thickness burn of the skin usually accompanied by damage to deep structures and commonly results in extensive damage to surrounding tissues which makes the treatment of the wound difficult. Coverage of these wound using free flap is known to effective but not commonly used. The purpose of our study is to review our experience and suggest early application of free flap surgery. Methods: A retrospective review was performed from 2010 to 2019, on a total of 34 fourth degree burn patients undergone free flap surgery as primary treatment in our hospital. We reviewed the location of the injury, etiology, TBSA (%), Presence of osteomyelitis, flap choice, complications, period of injury to surgery and healing. Results: Using free flap as a primary reconstrcuction, the outcome is satisfactory. The treatment period was shortened, and there was less loss of function due to complications. Also the incidence of osteomyelitis and amputation was significantly low. Conclusion: Applying free flap surgery as soon as possible in fourth degree burns is effective, such as reducing complications such as infection, reducing amputation, shortening treatment period, and preventing severe sequelae.

Keywords

References

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