Synopsis Deep burns to the hands are significant injuries that result in scarring, contractures, and functional limitations. These post-burn contractures are common in pediatric and adult patients despite appropriate initial management. The most common contractures include the first and interdigital…
Synopsis Burns continue to be a significant source of morbidity and mortality in low- and middle-income countries. Patients that survive the original injury often develop burn scar contracture because burns across the neck, axilla, elbow, and wrist are forced to…
Synopsis Burn injury to the axilla is caused by flame or direct contact. Ignition of clothing is the most common cause. Burns that will not heal within 2 weeks should be excised and skin grafted to prevent progressive scar contraction…
Synopsis Contractures of the neck are common sequelae of neck burns, even in centers with ideal facilities, let alone in circumstances with limited resources. Among the classifications put forward, Achauer and VanderKam's classification of neck contractures are the one most…
Synopsis The burned face presents a challenging problem that must be addressed in a comprehensive and thoughtful manner. This is further complicated by the demand for not only a functional result but also one that is esthetically acceptable. Of the…
Synopsis The sequelae of facial burn injury can be devastating. Involvement of the eyelid area is of particular importance, both functionally and esthetically. It is essential to recognize eyelid injuries early and to institute aggressive management to prevent immediate and…
Synopsis The assessment and treatment of burn wounds requires a knowledgeable interprofessional health care team. Burn injuries can range in depth from a minor superficial injury to a deep full-thickness wound that may include the underlying structures and organs. All…
Synopsis Burn care starts at the time of injury with appropriate wound care, fluid resuscitation, and nutrition. Appropriate early management of many burns can prevent infection, allow for healing without surgery, and prevent contracture formation. Knowledge of the burn wound…
Synopsis Jaw surgery is a broad topic that encompasses a wide array of pathologies of the maxillofacial skeleton. With regard to global reconstructive surgery and the issues seen most commonly in developing nations, this chapter has been organized into the…
Synopsis Microtia literally means “small ear” but is used in reference to a spectrum of auricular deformities that almost always occur in association with aural atresia (absence of an external auditory canal). From a practical point of view, any congenital…