Reconstructive management of patients with greater than 80 per cent TBSA burns

B. F. Burns, R. L. McCauley, F. L. Murphy, M. C. Robson

    Research output: Contribution to journalArticle

    9 Citations (Scopus)

    Abstract

    With improving acute burn care, greater numbers of patients are surviving large burns. Meshed skin grafts or cultured epithelial autografts are often required to achieve rapid wound closure, even in areas such as the hands or face. This, plus the lack of suitable donor tissue for reconstruction, is mandating a change in reconstructive principles. Twenty-eight patients surviving ≥80 per cent TBSA full skin thickness burns were evaluated using two specially devised instruments (Inventory of Potential Reconstructive Needs; Donor Tissue Surveillance). A total of 564 reconstructive needs were identified in the 28 patients, an average of 20.1 per patient. There were 265 defects in the head and neck, 143 in the upper extremities, and 156 in the torso/lower extremities. The injured anatomical units most frequently identified were the hand (74), trunk (60), nose/nasolabial fold (48), mouth (46), ankle/foot (42), neck (31) and check (28). The Donor Tissue Surveillance form revealed that the necessary donor tissue was frequently not available, and when available, was often of poor quality. These facts require a different set of priorities for reconstruction of the massively burned patient. No longer can a simple stepwise plan of active function, passive function, and aesthetic needs be followed. The patient and family desires must be combined with a realistic outlook by the entire burn team to determine the most judicious and efficient use of available donor tissue to meet the reconstructive needs.

    Original languageEnglish
    Pages (from-to)429-433
    Number of pages5
    JournalBurns
    Volume19
    Issue number5
    DOIs
    StatePublished - 1993

    Fingerprint

    Burns
    Tissue Donors
    Neck
    Hand
    Nasolabial Fold
    Torso
    Skin
    Autografts
    Esthetics
    Nose
    Ankle
    Upper Extremity
    Mouth
    Foot
    Lower Extremity
    Head
    Transplants
    Equipment and Supplies
    Wounds and Injuries

    ASJC Scopus subject areas

    • Emergency Medicine
    • Surgery

    Cite this

    Burns, B. F., McCauley, R. L., Murphy, F. L., & Robson, M. C. (1993). Reconstructive management of patients with greater than 80 per cent TBSA burns. Burns, 19(5), 429-433. https://doi.org/10.1016/0305-4179(93)90068-J

    Reconstructive management of patients with greater than 80 per cent TBSA burns. / Burns, B. F.; McCauley, R. L.; Murphy, F. L.; Robson, M. C.

    In: Burns, Vol. 19, No. 5, 1993, p. 429-433.

    Research output: Contribution to journalArticle

    Burns, BF, McCauley, RL, Murphy, FL & Robson, MC 1993, 'Reconstructive management of patients with greater than 80 per cent TBSA burns', Burns, vol. 19, no. 5, pp. 429-433. https://doi.org/10.1016/0305-4179(93)90068-J
    Burns, B. F. ; McCauley, R. L. ; Murphy, F. L. ; Robson, M. C. / Reconstructive management of patients with greater than 80 per cent TBSA burns. In: Burns. 1993 ; Vol. 19, No. 5. pp. 429-433.
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