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Reconstruction after Burn Injury: An Integrative Approach
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Reconstruction after Burn Injury: An Integrative Approach

A special issue of European Burn Journal (ISSN 2673-1991).

Deadline for manuscript submissions: closed (15 June 2023) | Viewed by 8333

Special Issue Editors

Dr. Heather J. Cleland

E-Mail Website
Guest Editor
1. Head of the Victorian Adult Burns Unit, The Alfred Hospital, Melbourne, VIC 3004, Australia
2. Adjunct Senior Lecturer, Department of Surgery, Central Clinical School, Monash University, Melbourne, VIC 3004, Australia
Interests: surgical care of burn injury; wound healing; skin tissue engineering
Dr. Eduardo Gus

E-Mail Website
Guest Editor
1. Staff Surgeon, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
2. Assistant Professor, Department of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada
Interests: burn care; epidemiology; burn reconstruction; pediatric burns

Special Issue Information

Dear Colleagues,

This Special Issue will focus on reconstruction after burn injury, highlighting aspects of a holistic approach, which starts with primary treatment. It then continues through the phases of scar maturation into the longer term of both surgical and other treatments, progressively indicated with growth and the need for promotion of physical and social reintegration.

Our goal is to elucidate and showcase the concept of a ‘Plastic Surgical’ approach to the care of people with burn injuries, and thus help to ensure burns patients have access to a range of the best practice reconstructive techniques and procedures as part of their rehabilitation. We welcome submissions on workforce and service configuration, clinical reports, and experimental and research articles on all aspects of burns treatments aimed at improving scarring and its sequelae. Up-to-date reviews and commentaries are also welcome.

Dr. Heather J. Cleland
Dr. Eduardo Gus
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. European Burn Journal is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 971 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • burn reconstruction
  • burns scars
  • burns contractures
  • scar modulation
  • plastic surgery in burns
  • multidisciplinary scar management
  • burn rehabilitation

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Published Papers (3 papers)

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10 pages, 926 KiB  
Article
Investigation of the “Surgical Cuts CO2 Laser Therapy Technique” to Treat Minor Burn Scar Contractures in Children
by Jennifer Zuccaro, Lisa Lazzarotto, Jamil Lati, Charis Kelly and Joel Fish
Eur. Burn J. 2023, 4(3), 293-302; https://doi.org/10.3390/ebj4030027 - 19 Jul 2023
Cited by 2 | Viewed by 1668
Abstract
Fractional carbon dioxide (CO2) laser therapy has been shown to improve scar contractures following burns. However, the benefits of using other CO2 laser techniques to treat burn scar contractures are relatively unknown. This pilot study investigated a CO2 laser [...] Read more.
Fractional carbon dioxide (CO2) laser therapy has been shown to improve scar contractures following burns. However, the benefits of using other CO2 laser techniques to treat burn scar contractures are relatively unknown. This pilot study investigated a CO2 laser technique in which a series of perpendicular “surgical cuts” were created along the contracture. The aim of this study was to evaluate the effectiveness of using the “surgical cuts CO2 laser technique” in pediatric patients. This study included 12 participants with minor hand burn scar contractures that received one CO2 laser treatment using the surgical cuts technique. Trained assessors measured contractures pre- and post-laser therapy by assessing range of motion (ROM), digit length, and/or hand-span. All contractures were secondary to contact burns with the mean participant age equal to 5.5 years (SD 3.9). For all participants, at least one of the measured characteristics (ROM, hand-span, and digit length) improved after treatment. This pilot study demonstrated the benefit of using the surgical cuts CO2 laser technique to treat minor burn scar contractures. Future investigations are needed to further evaluate its effectiveness in comparison to the fractional CO2 laser therapy technique. Full article
(This article belongs to the Special Issue Reconstruction after Burn Injury: An Integrative Approach)
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11 pages, 3257 KiB  
Communication
Free Tissue Transfer in the Reconstruction of Neck Contractures after Burn Injury: A Case Series
by Geneviève Ferland-Caron, Peter O. Kwan and Edward E. Tredget
Eur. Burn J. 2023, 4(2), 248-258; https://doi.org/10.3390/ebj4020022 - 9 Jun 2023
Viewed by 4182
Abstract
Background: Recent advances in burn care have significantly improved the survival rate of patients with extensive burn injuries, placing greater emphasis on reconstruction to improve the long-term outcomes of scar deformities. Anterior and lateral neck contractures are common after burn injuries; they [...] Read more.
Background: Recent advances in burn care have significantly improved the survival rate of patients with extensive burn injuries, placing greater emphasis on reconstruction to improve the long-term outcomes of scar deformities. Anterior and lateral neck contractures are common after burn injuries; they limit range of motion, complicate airway management and create significant cosmetic deformities. Traditional methods have been used to release contractures and improve function. However, they are subject to variable results, residual neck tightness, recurrence and suboptimal cosmetic appearance. Microvascular free tissue transfer is a more technically challenging and time-consuming method, but it offers the potential to overcome the long-term limitations of simpler options. In this paper, we present our experience with microvascular free flaps for the release of burn scar contractures of the neck as a potential high-quality permanent solution. Methods: Over a 10-year period, nine free flaps were performed on burn patients with total body surface area (TBSA) burns between 20 and 70%, who developed moderate to severe neck contractures. Four anterolateral thigh (ALT) flaps, four radial forearm free flaps (RFFFs) and one ulnar forearm flap were used to release neck contractures. Results: All nine flaps were completed successfully with significant improvement in the neck’s range of motion. Good aesthetic results were achieved with smooth contour and thin coverage. Overall, the patients were satisfied. However, five out of nine cases required at least one secondary procedure for flap defatting to reach optimal results. Conclusion: Post-burn scar contractures of the cervical region compromise the cosmetic appearance and airway security of recovering burn patients, imposing a significant impact on their psychological and functional quality of life. Consequently, cervical contractures can be prioritized when planning reconstruction for burn patients. Free flaps can be considered an important and reliable method of reconstruction for neck contracture deformity following burn injuries. Full article
(This article belongs to the Special Issue Reconstruction after Burn Injury: An Integrative Approach)
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8 pages, 1965 KiB  
Brief Report
The Two Facing Square Flaps Method for Release of Anterior and Posterior Axillary Line Burn Contractures
by Whitney Laurel Quong and Rei Ogawa
Eur. Burn J. 2023, 4(4), 529-536; https://doi.org/10.3390/ebj4040034 - 4 Oct 2023
Viewed by 1553
Abstract
With improved burn outcomes and survival rates, the focus of management in large burns has shifted from merely survival towards optimizing form and function for the burn survivor. Due to its unique structural features and functional demands however, the axilla is prone to [...] Read more.
With improved burn outcomes and survival rates, the focus of management in large burns has shifted from merely survival towards optimizing form and function for the burn survivor. Due to its unique structural features and functional demands however, the axilla is prone to contracture formation, and remains complex to reconstruct. Where contractures involve both the posterior and anterior axillary lines, the two facing square flaps method is a suitable choice for a wide range of patients. The flap design is flexible, and is relatively safe with a sufficient blood supply. Superior lengthening of approximately 3–4 times can be achieved, and is maintainable. In this surgical technique paper, we describe the strategy of the two facing square flaps, and present two patterns of its application, with representative cases of the local flap method. Full article
(This article belongs to the Special Issue Reconstruction after Burn Injury: An Integrative Approach)
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