title: [Microsurgery and burn sequelae: what is practical use?].
abstract: The use of microsurgery in the management of burn sequelae is not a new idea and free flaps have been used in this context since the 1970s. New technologies like negative pressure treatment and skin substitute have certainly decreased the indication of free flaps. The authors with their experience combined to a review of the literature, try to clarify these indications for each anatomical location. From a technical point of view, they find that realizing a free flap for these patients is more complicated (venous damage, lack of donor site who has been burned…). Despite this, microsurgery must still belong in the decision tree and there are some irreplaceable indication specially for hand reconstruction.
authors.affiliation: Centre des brûlés, service de chirurgie plastique et reconstructrice, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. franck.duteille@chu-nantes.fr
authors.forename: F
authors.initials: F
authors.lastname: Duteille
authors.forename: F
authors.initials: F
authors.lastname: Bellier-Waast
authors.forename: P
authors.initials: P
authors.lastname: Perrot
mesh_terms: D002056:Burns / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery; D006801:Humans; D008866:Microsurgery / Q000379:methods; D017410:Practice Guidelines as Topic; D019651:Plastic Surgery Procedures / Q000379:methods; D017768:Skin, Artificial; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome