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Severe deep burns on the face often spread to the head, neck, respiratory tract, oral cavity and eyeballs, making the treatment more complicated
As long as the patient's condition permits, early cutting (cutting) of scabs and skin grafting is the first choice for the treatment of deep facial burns
Infection tension
However, in the early stage of severe facial burn patients, due to many reasons, such as poor general conditions, inability to tolerate surgery, limited autologous skin source, etc.
Third-degree burns of the nose can be treated with incision and skin grafting at an early stage
The nose is the most prominent part of the facial features, and any defects and deformities are easy to see
Facial blood supply is abundant, especially in the nose, so no matter if the scab is cut or peeled off, there is more bleeding
In addition to skin grafts, attention should be paid to the scope and plane of the scab
For mouth and nose burns, attention should be paid to reconstruct the functional structure as much as possible
prevention
Similarly, the treatment of perioral burns also needs to take into account the dual requirements of function and beauty
The tissue structure of the perioral skin has its own unique characteristics.
Deep burns of the perioral skin often occur at the same time as the face.
The degree of burns on both sides of the burn is uneven, and it is easy to have irregular red lips after healing
During the operation, the blood and secretions of the oral cavity and pharynx should be sucked at any time.
In addition, in order to prevent the formation of hematoma under the skin, the bleeding should be completely stopped during the operation, and the skin should be packed and bandaged; after the operation, it is necessary to avoid involving the skin around the mouth, avoid talking, and prohibit wide opening of the mouth
In summary, when dealing with perioral burns of the nose, it is necessary to restore the function as much as possible while restoring the aesthetic effect according to its anatomical characteristics and the "land" conditions
Reference source:
Editor-in-Chief of the Ministry of Health of the General Logistics Department of the Chinese People's Liberation Army.
Wang Xiancheng, Zhao Bocheng.
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Discussion on the timing and indications of tracheotomy in patients with extensive burns of the head and neck[J].
Journal of Clinical and Pathology,2015(5):783-786.
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