Artikel
Less could be more in a child’s face?
Suche in Medline nach
Autoren
Veröffentlicht: | 18. Januar 2017 |
---|
Gliederung
Text
We present a case of a girl, age 3, with an electric burn of the face, the tongue and fingers.
History: The patient had an electric burn by putting two screws in a socket. With following heart arrest and burns of the right face and the right hand (Pictures).
Treatment: The child was first treated by the department for pediatric surgery. We discussed the case very intensive with the colleagues of the department for plastic and reconstructive surgery, as well as with the colleagues of the department of oral and maxillofacial surgery and plastic operations. The treatment of the right hand was performed by the hand surgeons – department of plastic and reconstructive surgery. We decided to treat the face together with the colleagues of the OMS. We decided to treat as minimal as possible hoping to get the best cosmetic result. Having spared possible vital structures. We just waited and reconstructed the face step by step. We needed 4 operative procedures to reconstruct the face in the first setting (Pictures). After 2 years we decided to perform a widening of the mouth with a reconstruction of the right angle (Pictures).
Conclusion: We think our decision to close the defect step by step without extensive surgery was a good one. Vital structures could be preserved. The cosmetic result was good.