Postburn Microstomia Prevention Using an Appliance Providing Simultaneous Horizontal and Vertical Adjustable Forces

Antonarakis, Gregory S.; Fastlicht, Sandra; Masnyi, Taras; Tompson, Bryan

doi:10.1097/bcr.0000000000000523

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Although they can certainly be effective, this degree of patient follow-up and cooperation may not be possible in all situations, including patients travelling distances to follow-up appointment, financial burdern to obtain these devices or availability in all parts of the world. This remains a critical and challenging problem in the rehabilitation of facial burn patients [41,42].…”

Section: Key Pointsmentioning

confidence: 99%

Management of facial burns: an update

Abubakar¹,

Ibrahim²

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review This article reviews literature on the recent progress made on management of facial burns. The discussion focuses on those aspects of the management in which recent studies brought new ideas, and reviews some that failed to change practices in the management of facial burns. Recent findings Recent innovations and models have been proposed in an attempt to reduce the incidence of unnecessary intubations in patients with burns to the face and with suspected inhalational injury. However, the decision to secure the airway is still a challenging one. A new escharotomy method based on facial subunits principles has been described, while the practice of early tangential excision is still debated in the literature. Tarsorrhaphy without occluding the eyes has also been described in the management of peri-oral burns. Self-retaining and expandable stents for the nose have also been demonstrated to be effective in preventing nasal stenosis. 3D printed face masks have been more recently developed to improve the current wound-care methods used in facial scar management. Summary This article highlights recent developments in the management of facial burns in areas such as acute facial burn care, subsequent wound care and facial scar management. It highlights areas wherein progress has been made, as well as the need for further studies in certain areas.

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Section: Key Pointsmentioning

confidence: 99%

Management of facial burns: an update

Abubakar¹,

Ibrahim²

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Customized Microstomia Prevention Appliance Therapy: A Case Report

Ajmal¹,

Kaur

Saleem³

et al. 2019

DRM

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Microstomia is a condition with abnormally small oral aperture which is associated with compromised aesthetics and function of stomatognathic system. In young children, the leading cause of microstomia is oral electrical or chemical burns. Management of microstomia requires multidisciplinary approach including surgery, physiotherapy and appliance therapy. Appliance therapy in form of microstomia prevention appliance plays a pivotal role in prevention of contraction of tissue during healing. Numerous appliances have been described in literature to prevent microstomia. However, decision to use a particular appliance require meticulous planning considering the efficacy and effectiveness of the appliances and various patient factors like age, dentition status and compliance. This paper presents an unusual clinical condition where a unique customized microstomia prevention appliance therapy was instituted to prevent microstomia in 2 year old female patient following lip surgery. This appliance was constructed easily and inexpensively, could be adjusted so that it was almost painlessly inserted, and was progressively adapted. It was convenient for use in young child with minimal compliance offering improved mouth opening and consequently functional outcomes.

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Optimising Scar Management Intervention in the Case of a Head-and-Neck Burn for a Patient with a Learning Disability

Spooner,

Pilley,

Rose

et al. 2024

EBJ

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Scars following burns can often prove complex to manage, particularly when crossing joints or special areas such as the head and neck, due to contractures. This case report discusses the individualised care and rehabilitation provided to a burn patient with a learning disability. The patient suffered both full and partial thickness burns equating to a total body surface area (%TBSA) of 7% of the face, neck, and anterior chest via the self-ignition of clothing. Acute treatment was provided at a regional burn unit followed by further in-patient care and rehabilitation at our burn facility. A motion rehabilitation instrument was employed to manage potential orofacial contracture; however, due to the patient’s impaired social functioning, this device was found to be unsuitable. Subsequently, a bespoke mouth-opening device replicating an ice lolly was fabricated utilising computer-aided design (CAD), enhancing the patient’s understanding along with encouraging independence. Microstomia was a risk in this case; however, this was prevented via the discussed regime, and successful patient rehabilitation was achieved.

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Postburn Microstomia Prevention Using an Appliance Providing Simultaneous Horizontal and Vertical Adjustable Forces

Cited by 3 publications

References 19 publications

Management of facial burns: an update

Management of facial burns: an update

Customized Microstomia Prevention Appliance Therapy: A Case Report

Optimising Scar Management Intervention in the Case of a Head-and-Neck Burn for a Patient with a Learning Disability

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