title: Common postburn deformities and their management.
abstract: This article describes a practical, clinically based approach to classification of postburn deformities. Burn scar contractures are of either the broad diffuse type or linear band-like type. The former generally respond well to release and insertion of a skin graft or substitute, whereas the latter are generally repaired using a simple or modified Z-plasty or a transpositional flap technique. The pulsed dye laser is a promising technique used to reduce scar thickness and redness. Postburn deformities of the face, upper and lower extremities, and trunk are discussed, in addition to novel techniques for vascularized composite allotransplantation of the face.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Surgery, Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, University of Toronto, Room D 712, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada. Electronic address: robert.cartotto@sunnybrook.ca.
authors.forename: Robert
authors.initials: R
authors.lastname: Cartotto
authors.affiliation: Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Bryan J
authors.initials: BJ
authors.lastname: Cicuto
authors.affiliation: Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Harriet N
authors.initials: HN
authors.lastname: Kiwanuka
authors.affiliation: Plastic Surgery Transplantation, Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Erika M
authors.initials: EM
authors.lastname: Bueno
authors.affiliation: Plastic Surgery Transplantation, Burn Center, Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Bohdan
authors.initials: B
authors.lastname: Pomahac
mesh_terms: D001365:Axilla / Q000293:injuries; D001940:Breast / Q000293:injuries; D002056:Burns / Q000150:complications* / Q000473:pathology; D002921:Cicatrix / Q000473:pathology / Q000628:therapy*; D003286:Contracture / Q000473:pathology / Q000628:therapy; D006259:Craniocerebral Trauma / Q000628:therapy; D046148:Donor Selection / Q000379:methods; D004426:Ear Deformities, Acquired / Q000628:therapy; D054445:Facial Transplantation / Q000379:methods; D005544:Forecasting; D006227:Hand Deformities, Acquired / Q000473:pathology / Q000628:therapy; D006801:Humans; D016916:Joint Deformities, Acquired / Q000473:pathology / Q000628:therapy; D053685:Laser Therapy / Q000379:methods; D035002:Lower Extremity / Q000293:injuries; D019838:Neck Injuries / Q000628:therapy; D009667:Nose Deformities, Acquired / Q000628:therapy; D009999:Ossification, Heterotopic / Q000209:etiology / Q000473:pathology / Q000628:therapy; D010502:Perineum / Q000293:injuries; D016879:Salvage Therapy / Q000379:methods; D017695:Soft Tissue Injuries / Q000628:therapy; D014019:Tissue Donors / Q000600:supply & distribution; D060053:Transplant Donor Site / Q000601:surgery; D063986:Vascularized Composite Allotransplantation / Q000379:methods; D000092464:Elbow Injuries
keywords: Burns; Deformity; Face transplantation; Reconstruction; Scars