Burn reconstruction can be very challenging, especially when there are exposed structures such as bone, tendons, and joints that require flap reconstruction and closure. Local or regional flaps can be very helpful, given the sometimes lack of surrounding skin. It has long been said that burned skin or skin that has been previously reconstructed with a skin graft cannot be used; however, since the initial thermal injury is generally limited to the skin and subcutaneous fat, the underlying fascia and its vasculature are usually spared. Therefore, lending previously burned skin that has been reconstructed can be a viable option for local fasciocutaneous flaps. We present this idea as well as some case examples below.

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Use of Previously Burnt Skin in Local Fasciocutaneous Flaps

  • Jake Laun,
  • Rodney Chan,
  • Julian J. Pribaz

摘要

Burn reconstruction can be very challenging, especially when there are exposed structures such as bone, tendons, and joints that require flap reconstruction and closure. Local or regional flaps can be very helpful, given the sometimes lack of surrounding skin. It has long been said that burned skin or skin that has been previously reconstructed with a skin graft cannot be used; however, since the initial thermal injury is generally limited to the skin and subcutaneous fat, the underlying fascia and its vasculature are usually spared. Therefore, lending previously burned skin that has been reconstructed can be a viable option for local fasciocutaneous flaps. We present this idea as well as some case examples below.