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Year : 2004  |  Volume : 12  |  Issue : 1  |  Page : 38-41

Free flaps in reconstruction of head and neck burns

Department of Plastic Surgery, Medical College, Baroda, Gujarat, India

Correspondence Address:
Yogesh C Bhatt
106, Gayatri park Apartments, M. D. Road, off Vasana Road, Baroda, Gujarat
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Source of Support: None, Conflict of Interest: None

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Management of facial burns remains a challenge to the treating surgeon. Though majority of head and neck burns heal spontaneously or occasionally need excision and grafting, there is a small group of patients with complex head and neck defects who need some kind of flap cover. Local or regional flaps may not be useful because of involvement of surrounding skin in burns or extensive nature of defect. Free flap cover remains an ideal procedure in such patients, being a single stage procedure distant healthy donor tissue is used and it doesn't depend on bed of burn wound for its survival. We present our series of six patients with post burn head and neck defects treated by free flap coverage. Indications, complications and special precautions while doing free flaps in burn patients are discussed.

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