THE TREATMENT OF FACIAL BURNS

Abstract

Objectives. Facial burns are one of the most severe forms of trauma due to the association of inhalation injuries. Complex therapeutic strategies are often required, based on a multidisciplinary approach deeply adapted to the specifics of each case.

Material and methods. We realized a descriptive, retrospective study in the Plastic and Burn Surgery Department of the Republican Center for Thermal Injuries for Adults, IMSP Clinical Hospital of Traumatology and Orthopedics, for a period of 1 year (December 2020 - November 2021), which included patients who benefited diagnosis and treatment.

Results. The study included 85 patients. The ratio of women vs men was 1:1.65, with an average age of 50.32 years. Facial burn management is based on primary examination consisting of assessment of affected area and depth, airway control, treatment of lesions and scars, reconstruction and rehabilitation. The basic treatment of patients with facial burns was conservative in 73 (85.88%) cases compared to 12 (14.12%) patients, in whom was preferable the surgical treatment. Nine (10.59%) patients needed skin grafting with a free split graft, and flap reconstruction was applied to 3 (3.53%) patients with complications from facial burns, such as ectropion of the eyelids and retracting scars.

Conclusions. Facial burns are complex due to the facial relief and the multitude of functions and structures involved in this area.