title: [Secondary plastic surgical reconstruction in severely burned patients].
abstract: Secondary reconstruction following severe burn trauma has improved markedly over the last few decades using all aspects of modern plastic surgery. In surgical reconstruction of burns, it is essential to design comprehensive, clear-cut, and long-term treatment plans. Good patient compliance and thorough follow-ups are imperative regarding the extent of scar and contracture formation, regularly requiring multiple-step surgery. Each treatment site will have to be evaluated separately, taking into account adequate surgical and conservative measures (the "reconstructive ladder"). Aiming at realistic and satisfactory results, surgery does not suffice alone in treating severely burned patients but also requires a well coordinated and seasoned team of occupational and physical therapists, psychologists, and plastic surgeons.
authors.affiliation: Klinik für Plastische, Asthetische und Handchirurgie-Schwerbrandverletztenzentrum, Chirurgische Klinik III-Klinikum Offenbach, Offenbach. Robin.Deb@T-Online.de
authors.forename: R
authors.initials: R
authors.lastname: Deb
authors.forename: G A
authors.initials: GA
authors.lastname: Giessler
authors.forename: M
authors.initials: M
authors.lastname: Przybilski
authors.forename: D
authors.initials: D
authors.lastname: Erdmann
authors.forename: G
authors.initials: G
authors.lastname: Germann
mesh_terms: D002056:Burns / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery*; D003286:Contracture / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D010347:Patient Care Planning; D010348:Patient Care Team; D010349:Patient Compliance; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation / Q000379:methods