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February 1990

Treatment of Burn Sequelae on the Head and Neck

Author Affiliations

Chicago, Ill

Arch Otolaryngol Head Neck Surg. 1990;116(2):147. doi:10.1001/archotol.1990.01870020023005

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On June 29, 1989, at the Fifth International Symposium of Plastic and Reconstructive Surgery of the Head and Neck in Toronto, Canada, Ivo Pitanguy, MD, Rio de Janeiro, Brazil, presented his experience with the treatment of burn sequelae on the head and neck. Burn sequelae on the head and neck were noted in 40.3% of 1516 burn cases. In order to preserve as much viable tissue as possible, minimal débridement should be performed with burn injuries, so as to remove only obviously necrotic tissue. Because of the excellent blood supply in the head and neck region, large areas of apparently nonviable skin may frequently survive. Surgical treatment was required in 35% of patients with burn sequelae, whereas 65% of patients were managed by clinical treatment alone. Compression was noted to dramatically improve postburn keloids in children, often eliminating the need for surgical intervention. In those patients requiring surgery, the average interval

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