J Korean Burn Soc.  2020 Dec;23(2):54-59. 10.47955/jkbs.20.0013.

Analysis on Usefulness of Various Free Flaps for Primary Reconstruction on Fourth Degree Burn

• Lee JH
• Shin SH
• Kim HJ
• Lee SJ
• Kim SH
• Suh IS
• Kim JH

• KMID: 2508883
• DOI: http://doi.org/10.47955/jkbs.20.0013

Abstract

Purpose
A fourth degree burn is a full-thickness burn of the skin usually accompanied by damage to deep structures and commonly results in extensive damage to surrounding tissues which makes the treatment of the wound difficult. Coverage of these wound using free flap is known to effective but not commonly used. The purpose of our study is to review our experience and suggest early application of free flap surgery.
Methods
A retrospective review was performed from 2010 to 2019, on a total of 34 fourth degree burn patients undergone free flap surgery as primary treatment in our hospital. We reviewed the location of the injury, etiology, TBSA (%), Presence of osteomyelitis, flap choice, complications, period of injury to surgery and healing.
Results
Using free flap as a primary reconstrcuction, the outcome is satisfactory. The treatment period was shortened, and there was less loss of function due to complications. Also the incidence of osteomyelitis and amputation was significantly low.
Conclusion
Applying free flap surgery as soon as possible in fourth degree burns is effective, such as reducing complications such as infection, reducing amputation, shortening treatment period, and preventing severe sequelae.

Keyword

Free tissue flaps; Burns; Reconstructive surgery