title: Management of difficult pediatric facial burns: reconstruction of burn-related lower eyelid ectropion and perioral contractures.
abstract: Despite significant burn treatment advances, modern multidisciplinary care, and improved survival after burns, facial burn scars remain clinically challenging. Achieving a successful reconstruction requires a comprehensive approach, entailing many advanced techniques with an emphasis on preserving function and balancing intricate aesthetic requirements. Pediatric facial burns present the same reconstructive challenges seen in adults, with additional developmental and psychologic concerns. In this paper, we describe the basic principals of facial burn care in the pediatric burn population, with a specific focus on lower-eyelid burn ectropion and oral commissure burn scar contracture leading to microstomia. Several cases are demonstrated.
authors.affiliation: Department of Surgery, Section of Plastic Surgery, University of Michigan Health Systems, Ann Arbor, Michigan, USA.
authors.forename: Brent
authors.initials: B
authors.lastname: Egeland
authors.forename: Sunita
authors.initials: S
authors.lastname: More
authors.forename: Steven R
authors.initials: SR
authors.lastname: Buchman
authors.forename: Paul S
authors.initials: PS
authors.lastname: Cederna
mesh_terms: D002056:Burns / Q000150:complications / Q000534:rehabilitation / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D004483:Ectropion / Q000209:etiology / Q000601:surgery*; D005151:Facial Injuries / Q000150:complications / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D007223:Infant; D008445:Maxillofacial Development; D008865:Microstomia / Q000209:etiology / Q000601:surgery; D009055:Mouth; D010372:Pediatrics; D019651:Plastic Surgery Procedures / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods