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Summary

Hypertrophic scars and tissue defects are the most common cause of functional and aesthetic problems in the head and neck of burn patients. For reconstructive surgery full-thickness or split thickness skin grafts are preferred. Pedicled flaps or free flaps are mostly used to correct contractures in the neck. The transplantation of bone or cartilage and tissue expansion are also used for special indications.

Zusammenfassung

Hypertrophe Narben und Defekte mit funktionellen und ästhetischen Auswirkungen machen den wesentlichen Teil der sekundären operativen Wiederherstellung des Brandverletzten im Gesichts- und Halsbereich aus. Wir bevorzugen Vollhaut und dicke Spalthaut bei der Korrektur hypertropher Narben. Lappenplastiken kommen besonders zur Unterbrechung ausgedehnter Narbenareale am Hals zur Anwendung. Neben diesen überwiegend genutzten Verfahren haben die Transplantation anderer Gewebe wie Knochen oder Knorpel ebenso wie der Einsatz des Gewebeexpanders ihren allerdings eng umrissenen Platz.

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© 1989 Springer-Verlag Berlin Heidelberg

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Steen, M. et al. (1989). Sekundäre Rehabilitation. In: Ungeheuer, E. (eds) Verhandlungen der Deutschen Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie, vol 1989. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48162-8_35

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  • DOI: https://doi.org/10.1007/978-3-642-48162-8_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-51489-3

  • Online ISBN: 978-3-642-48162-8

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