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

Analysis on Usefulness of Various Free Flaps for Primary Reconstruction on Fourth Degree Burn

대한화상학회지 2020년 23권 2호 p.54 ~ 59
이주호, 신세호, 김현조, 이성주, 김성환, 서인석, 김재현,
소속 상세정보
이주호 ( Lee Ju-Ho ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Plastic and Reconstructive Surgery
신세호 ( Shin Se-Ho ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Plastic and Reconstructive Surgery
김현조 ( Kim Hyeon-Jo ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Plastic and Reconstructive Surgery
이성주 ( Lee Seong-Joo ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Plastic and Reconstructive Surgery
김성환 ( Kim Seong-Hwan ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Plastic and Reconstructive Surgery
서인석 ( Suh In-Suck ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Plastic and Reconstructive Surgery
김재현 ( Kim Jae-Hyun ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Plastic and Reconstructive Surgery

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.

키워드

Free tissue flaps; Burns; Reconstructive surgery

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