+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Analysis of the microcirculation after soft tissue reconstruction of the outer ear with burns in patients with severe burn injuries



Analysis of the microcirculation after soft tissue reconstruction of the outer ear with burns in patients with severe burn injuries



Journal of Plastic Reconstructive and Aesthetic Surgery 69(7): 988-993



Reconstruction of soft tissue defects of the ear with burns remains one of the most difficult tasks for the reconstructive surgeon. Although numerous reconstructive options are available, the results are often unpredictable and worse than expected. Besides full and split skin grafting, local random pattern flaps and pedicled flaps are frequently utilized to cover soft tissue defects of the outer auricle. Because of the difficulty and unpredictable nature of outer ear reconstruction after burn injury, a case-control study was conducted to determine the best reconstructive approach. The microcirculatory properties of different types of soft tissue reconstruction of the outer ear with burns in six severely burned Caucasian patients (three men and three women; mean age, 46 years (range, 22-70)) were compared to those in the healthy tissue of the outer ear using the O2C device (Oxygen to See; LEA Medizintechnik, Gießen, Germany). The results of this study revealed that the investigated microcirculation parameters such as the median values of blood flow (control group: 126 AU), relative amount of hemoglobin (control group: 59.5 AU), and tissue oxygen saturation (control group: 73%) are most similar to those of normal ear tissue when pedicled flaps based on the superficial temporal artery were used. These findings suggest that this type of reconstruction is superior for soft tissue reconstruction of the outer ear with burns in contrast to random pattern flaps and full skin grafts regarding the microcirculatory aspects. These findings may improve the knowledge on soft tissue viability and facilitate the exceptional and delicate process of planning the reconstruction of the auricle with burns.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057194120

Download citation: RISBibTeXText

PMID: 26997326

DOI: 10.1016/j.bjps.2016.02.010


Related references

Strategy for wound repair of skin and soft tissue defect and systematic rehabilitation treatment for functional reconstruction of patients with severe burn or trauma on knees. Zhonghua Shao Shang Za Zhi 34(5): 266-270, 2018

Toxic effects of tannin on renal and hepatic tissues in severe injuries due to burns; experimental investigations on burn injuries. Vestnik Khirurgii Imeni I. I. Grekova 70(6): 20-22, 1950

Digital soft tissue trauma: a concise primer of soft tissue reconstruction of traumatic hand injuries. Iowa Orthopaedic Journal 31: 110-120, 2011

Evaluation of the severity and extent of early complications in burns, multiple trauma, abdominal injuries, craniofacial injuries, injuries of the extremities, thoracic injuries, preceding injuries of soft tissues. Part 4--preceding injuries of soft tissues. La Revue du Praticien 57(3): 337-343, 2007

Soft tissue reconstruction of the anterior surface of the lower leg in burn patients using a free latissimus dorsi muscle flap. Scandinavian Journal of Plastic and Reconstructive Surgery 20(1): 137-140, 1986

Soft tissue injuries of the face: early aesthetic reconstruction in polytrauma patients. Annali Italiani di Chirurgia 79(6): 415-417, 2009

Comparative Population Plasma and Tissue Pharmacokinetics of Micafungin in Critically Ill Patients with Severe Burn Injuries and Patients with Complicated Intra-Abdominal Infection. Antimicrobial Agents and ChemoTherapy 60(10): 5914-5921, 2016

Injuries with severe soft tissue damage. Osseous defects--septic complications; plastic surgery management to osseous reconstruction. Aktuelle Traumatologie 23(Suppl. 1): 50-61, 1993

Outcome Analysis of 50 Venous Flaps Transplanted for Soft Tissue Reconstruction in Traumatic Hand Injuries. Plastic & Reconstructive Surgery 116(Suppl.): 106-107, 2005

Soft tissue injuries, burns and scars. Mund- Kiefer- und Gesichtschirurgie 1(Suppl. 1): S50-S57, 1997

Emergency treatment of burns and soft tissue injuries. Journal of the Irish Medical Association 47: 60-61, 1960

Patients With Burns Versus Patients With Complex Skin and Soft-Tissue Disease: An Analysis of Outcomes in the United States. Journal of Burn Care and Research 37(2): E125-E130, 2016

A comparative analysis of burn injuries at two burns centres in Denmark. Burns. 20(2): 173-175, 1994

Disaster Medical Care. Burns, Fractures, and Soft Tissue Injuries. New York State Journal of Medicine 64: 1994-1997, 1964

Management of soft-tissue wounds, burns, and hand injuries in the field setting. Military Medicine 161(8): 469-471, 1996