[Management of deep facial burn with early postburn debridement and delayed skin grafting].
OBJECTIVE
To explore optimal methods of the management of deep facial burn, so as to prevent the development of facial scar hypertrophy and deformity.


METHODS
Partial tangential excision, delayed skin grafting, early relief of the eyelid eschar and immediate skin grafting were carried out in burn patients with deep facial burn during the early postburn stage.


RESULTS
The wounds in 12 cases had healed completely within 3 postburn weeks(PBW). Scar hypertrophy and facial deformity were not observed during the follow-up. All the patients could express natural facial expressions.


CONCLUSIONS
Facial deep burn wound could be managed as soon as possible with early partial tangential excision and delayed skin grafting. As a result, facial scar hypertrophy and deformity could be avoided.
Zhang
G
G
Department of Burns, Jishuitan Hospital, Beijing 100035, P. R. China.
Sun
Y
Y
Yan
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D017439:Cicatrix, Hypertrophic; D019468:Disease Management; D005151:Facial Injuries / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation / Q000379:methods; D016896:Treatment Outcome