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Early Grafting of Facial Burns Reduces Later Reconstructive Needs

NEW YORK (Reuters Health) May 27 –

 Early tangential excision and grafting of deep burns of the face and neck leaves only small areas that later require reconstructive surgery, which can be performed on an outpatient basis, clinicians in Seattle report. After reviewing 91 cases treated in this manner between 1979 and 1999, they conclude that results are better than those obtained by allowing spontaneous healing or grafting on granulation tissue.

 Dr. Jana K. Cole and associates, of the University of Washington, schedule surgery for patients whose facial burns are determined by day 10 to be unlikely to heal after 3 weeks. Excision is deep enough to remove hair follicles, after which allograft is used to cover the area. Approximately 1 week later, the allograft is removed. Areas deemed nonviable are re-excised and re-allografted.

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