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Reconstruction after burns of the face and neck

The reconstruction of burns of the face and neck is challenging. Although the treatment of facial burns has traditionally involved skin grafting and local flaps, these modalities often lead to suboptimal functional and aesthetic results. The recent use of tissue expanders and expanded full-thickness skin grafts has improved the ability to reconstruct burn defects of the cervicofacial region. Likewise, advancements in free-tissue transfer techniques such as prefabricated flaps and the use of megaflaps have increased the quality of facial burn reconstruction and offer a new approach to treating massive burns of this region. This paper reviews the most recent techniques and opinions of reconstructive surgeons involved with the care of cervicofacial burns. Curr Opin Otolaryngol Head Neck 2000, 8:277–281 © 2000 Lippincott Williams & Wilkins, Inc.