Complex Post Burn Scarring and Contracture in the Neck and Chest with Secondary Sinus Formation-A Case Report

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DOI: 10.21522/TIJPH.2013.12.03.Art013

Authors : Kanchana Koppolu, Shriya Reddy A, Manimaran Ramachandran, Barathi Raja, C. Srinivasan

Abstract:

One of the most prevalent burn sequelae is postburn contracture (PBC). Contractures involving the neck lead to severe deformities as well as functional debilitation like loss of neck movements and lip seals. Moreover, cosmetic disfigurement has social implications which affect the daily life of the patient. It is a surgical challenge to release the contracture and reconstruct the area by giving a good cosmetic outcome as well as restoring the functions.

References:

[1].   Burd, A., 2010, Burns: Treatment and Outcomes, Semin Plast Surg, Aug 24(3), 262-80.

[2].   Goel, A., 2010, Post-Burn Scars and Scar Contractures, Indian J Plast Surg, Sep 43(Suppl), S63-71.

[3].   Bordoni, B., 2013, Skin, Fascias, and Scars: Symptoms and Systemic Connections, J Multidiscip Healthc, Dec 28, 7, 11-24.

[4].   Valente, S. M., 2004, Visual Disfigurement and Depression, Plast Surg Nurs, Oct-Dec 24(4), 140-6, Quiz 147-8.

[5].   Al-Himdani, S., 2017, Tissue-Engineered Solutions in Plastic and Reconstructive Surgery: Principles and Practice, Front Surg, Feb 23, 4:4.

[6].   Otene, C. I., 2011, Donor Site Morbidity Following Harvest of Split-Thickness Skin Grafts in South Eastern Nigeria, J West Afr Coll Surg, Apr-Jun, 1(2), 86-96.

[7].   Prohaska, J., 2024, Skin Grafting, Stat Pearls [Internet], Treasure Island [FL], Stat Pearls Publishing.

[8].   Ali, H., 2019, Post-Burn Neck Contracture: Effectively Managed with Supraclavicular Artery Flap, Ann Burns Fire Disasters. Dec 31;32(4), 301-307.

[9].   Fanstone, R., 2024, Risk Factors for Burn Contractures in a Lower Income Country: Four Illustrative Cases, Scars Burn Heal, Mar 12, 10:20595131241236190.

[10].  Finnerty, C. C., 2016, Hypertrophic Scarring: The Greatest Unmet Challenge After Burn Injury, Lancet, Oct 1, 388(10052), 1427-1436.

[11].  Hayashida, K., 2017, Surgical Treatment Algorithms for Post-Burn Contractures, Burns Trauma, Mar 14, 5:9.

[12].  Ogawa, R., 2019, Diagnosis and Treatment of Keloids and Hypertrophic Scars-Japan Scar Workshop Consensus Document 2018, Burns Trauma, Dec 27, 7:39.

[13].  Abrams, R., 2024, Shoulder Dislocations Overview, Stat Pearls [Internet], Treasure Island (FL), StatPearls Publishing.

[14].  Kazemian, G. H., 2016, External Fixation vs. Skeletal Traction for Treatment of Intertrochanteric Fractures in the Elderly, Trauma Mon, Feb 6, 21(1), e15477.

[15].  Akhtar, M. S., 2014, Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts, Plast Surg Int, 2014, 846082.

[16].  Wagh, M. S., 2013, Tissue Expansion: Concepts, Techniques and Unfavourable Results, Indian J Plast Surg, May 46(2), 333-48.

[17].  Alghamdi, H., 2009, Surgical Management of Gingival Recession: A Clinical Update, J Saudi Dent, Jul, 21(2), 83-94.

[18].  Veltman, E. S., 2015, Static Progressive Versus Dynamic Splinting for Posttraumatic Elbow Stiffness: A Systematic Review of 232 Patients, Arch Orthop Trauma Surg, May, 135(5), 613-7.