POST SURGICAL SPLINT FOR PROSTHETIC MANAGEMENT OF FACIAL AND NECK BURN

Vivek Jadhav, Sweta Pisulkar, Sejal Shinde Tambake

Abstract


The sequelae of burns to the neck and face include facial deformity and post surgical wound contracture that can have a long term negative impact on patient’s quality of life. Successful management of posttraumatic nasal obstruction relies on a detailed history, careful analysis, and accurate diagnosis.

Contracture, a characteristic phenomenon of wound healing can result in severe disfigurement causing functional impairment and affecting esthetics of a patient who has sustained burn injuries of face and anterior part of neck. Management of scar tissue is extremely essential in rehabilating patient of patient of facial burns as it may have a significant effect on patient’s psychological wellbeing. A maxillofacial prosthodontist can assist the treatment of burn patient by fabricating a post surgical splint. This clinical report illustrates the fabrication of  a post surgical splint to prevent scar contracture and support the split thickness graft.


Keywords


Post surgical splint, scar contracture, facial burns, maxillofacial prosthodontics

Full Text:

PDF

References


Dorsey J. Moore.The role of the maxillofacial prosthetist in support of the burn patient.J. Pros. Dent. 1970;24:68-76.

John Marquis Converse,Burn Deformities of the Face and Neck .Reconstructive Surgery and Rehabilitatio;1967:324-54.

L. Macintyre and M. Baird, “Pressure garments for use in the treatment of hypertrophic scars -- an evaluation of current construction techniques in NHS hospitals.,” Burns, vol. 31, no. 1, pp. 11–4, Mar. 2005.

I. Parry, C. Hanley, J. Niszczak, S. Sen, T. Palmieri, and D. Greenhalgh, “Harnessing the Transparent Face Orthosis for facial scar management: A comparison of methods.,” Burns, vol. 39, no. 5, pp. 950–956, Dec. 2012.

Frackelton, W. H.: Neck Burns-Early and Late Treatment, in Skoog, T., and Ivy R. H.,

Editors: Transactions of the International Society of Plastic Surgeons, First Congress, 1955,Baltimore, 1957, The Williams & Wilkins Company, pp. 130-135.

Cronin, T. D.: The Use of a Molded Splint to Prevent Contracture After Split Skin Graft

on the Neck, Plast. Reconstr. Surg. 27: 7-18, 1961.

Savion I et al (2005) Constriction of a surgical stent for post traumatic nasal synechia. J Prosthet Dent 94:462–465 11. Casey DM, Schaaf NG (1997)

Custom surgical stent for naris stenosis. Plast Reconstr Surg 100:108–114 12. Pasquini E, Sciarreta V, Saggese D et al (2003)

Endoscopic treatment of congenital choanal atresia. Int J Pediatr Otorhinolaryngol 67:271–276 13. Schaefer KS, Taylor TD (1999)

Treatment of nasopharyngeal stenosis with a conformer prosthesis: a clinical report. J Prosthet Dent 81:507–509 14. Zaki HS (1997)

Prosthetic management of large nasal septal defects. J Prosthet Dent 77:335–338.


Refbacks

  • There are currently no refbacks.