Burn Reconstruction
Burn reconstruction is a surgical procedure aimed at restoring the aesthetic appearance and functional capacity of the skin and underlying tissues damaged by burns. Depending on the depth and extent of injury, burns can cause severe tissue loss. In such cases, soft tissue reconstruction becomes crucial, as scar tissue and contractures (tightening or shrinking of the skin and tissue) can lead to cosmetic deformities and functional impairments.
When Is Burn Reconstruction Necessary?
- Deep Burns: Burns that extend into the dermis or subdermal tissues
- Extensive Burns: Burns that cover a large surface area of the body
- Scars and Contractures: Thickened scars and skin tightness resulting in restricted movement
- Functional Impairments: Limitations in mobility or joint function due to skin tightening
- Aesthetic Concerns: Visible disfigurement in areas such as the face, neck, or hands
How Is Burn Reconstruction Performed?
- The type of surgery performed depends on the location, size, and severity of the burns. Common procedures include the following.
- Debridementz: • Removal of necrotic or non-viable tissue to prevent infection and support healing
- Skin Grafting: • Transplantation of healthy skin (usually harvested from another body area) to the burn site • Ideal for superficial to moderate-sized burns
- Local Flap Surgery :• Rotation or transposition of adjacent healthy tissue to cover the wound • Used in deeper and larger burn injuries
- Free Tissue Transfer (Microsurgery) :• Transplantation of tissue from another part of the body using microsurgical techniques • Best for severe tissue loss
- Tissue Expansion :• Gradual stretching of nearby skin using inflatable expanders to generate new tissue • Commonly used in the face, scalp, and neck
- Contracture Release • Surgical release of tight, scarred skin that restricts movement • Often combined with skin grafting or flap techniques
Frequently Asked Questions (FAQ)
Recovery varies based on the type of surgery and patient health but typically includes the following:
• Wound Care: Keep the area clean and dry to avoid infections
• Physical Therapy: Helps prevent joint stiffness and promotes mobility
• Pressure Garments: Used to minimize scar formation and improve outcomes
• Rest: Allow the affected area to recover without strain
• Pain Management: Follow prescribed medication regimens for optimal comfort
• Proper Wound Care: Maintain cleanliness and prevent moisture at the surgical site
• Doctor Follow-Ups: Attend all scheduled check-ups to monitor healing
• Adhere to Physical Therapy: Commit to regular rehab sessions as directed
• Use Pressure Garments: Wear consistently to control scarring and contractures
• Avoid Excessive Movement: Refrain from strenuous activities during recovery
• Protect from Sun Exposure: Use sunblock or cover the area to avoid pigmentation changes
Dr. Burak Ergün Tatar
Surgery Process
Preliminary Interview
I have a preliminary meeting with my patients without any time constraints.
Planning
The planning of the surgery time is done in collaboration with my patients.
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Operation
I perform the operation in our hospital with high technology and equipment.
Follow-up
As a team, we are in contact with our patients for post-operative check-ups or any adverse events that may occur.
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