For citations: Korotkova N.L., Ivanov S.Yu., Muraev A.A., Safyanova E.V. Algorithm of reconstruction method selection in patients with face combustion consequences. Golova I Sheya Head and neck Russian Journal. 2018;6(1):46–51 (in Russian).
Introduction. Combustions are the extremely severe injuries, ranging from 4.6 to 8.0% of the total number of traumas. Most of the victims are mostly affected on the open areas of the body — head, neck, and hands. As a result of burns, cicatricial deformations are formed that disrupt the functions of various organs and disfigure the affected person.
Cicatricial ectropion of the eyelids interrupts the eye closing and blinking, causes lacrimation, which entails a number of serious ocular violations. Scarring of the nose leads to its deformation and respiratory failure. Cicatricial changes in the oral area often cause microstomy, which makes it difficult to eat, dental treatment and anesthesia. Scars disrupt facial expressions, which play an important role in human communication. The variety of the facial features, the complexity and uniqueness of its anatomical formations require detailed methods of surgical treatment of each of them.
Aim. To develop an algorithm of reconstruction method choosing depending on the nature of the scar’s lesion.
Material and methods: The work is based on the treatment results of 178 patients, age from 1 to 74 years old, who underwent 944 surgical procedures for cicatrical lesions of various face areas. Most of the operations (92.1%) performed on the face strived to the aim of the affected zone reconstruction. The skin condition of the face and the oral mucosa were assessed. Separately, the esthetic condition of the face was also evaluated. The investigation of patients’ condition was performed with the use of the Bek depression scale and the Tsunga anxiety scale. Results. The analysis showed that all facial injuries can be classified according to the type of lesion based on the facial tissues loss evaluation. The reconstruction method suitability to the type of cicatrical lesion was revealed. In all cases, it was possible to improve the functional and aesthetic conditions of the face. The studying of the psychoemotional patients’ condition showed a significant decrease in the anxiety and depression rates during surgical treatment.
Conclusions. Analysis of cicatricial deformities and defects in individuals with consequences of face burns allowed to identify general patterns that made it possible to systematize scar lesions of a person on the basis of loss of skin as a result of a burn. The rational choice of a rational treatment method largely determines the final result; therefore, the algorithms developed on the basis of the lesion type allow choosing optimal methods and terms of reconstruction.
Authors declare no conflict of interests for this article.
For citations: Korotkova N.L., Ivanov S.Yu., Muraev A.A., Safyanova E.V. Algorithm of reconstruction method selection in patients with face combustion consequences. Golova I Sheya Head and neck Russian Journal. 2018;6(1):46–51 (in Russian).
The authors are responsible for the originality of the presented data and the possibility of publishing illustrative material – tables, drawings, photographs of patients