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Analysis on Usefulness of Various Free Flaps for Primary Reconstruction on Fourth Degree Burn
Journal of Korean Burn Society 2020;23(2):54-59
Published online December 1, 2020
© 2020 Journal of Korean Burn Society.

Ju Ho Lee, M.D., Se Ho Shin, M.D., Hyeon Jo Kim, M.D., Seong Joo Lee, M.D., Seong Hwan Kim, M.D., Ph.D., In Suck Suh, M.D., Ph.D. and Jae Hyun Kim, M.D.

Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea
Correspondence to: 김재현, 서울시 영등포구 신길로 1 ㉾ 07441, 한림대학교 의과대학 강남성심병원 성형외과학교실
Tel: 02-829-5182, Fax: 02-847-5183
Received October 24, 2020; Revised November 2, 2020; Accepted November 3, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: A fourth degree burn is a full-thickness burn of the skin usually accompanied by damage to deep structures and commonly results in extensive damage to surrounding tissues which makes the treatment of the wound difficult. Coverage of these wound using free flap is known to effective but not commonly used. The purpose of our study is to review our experience and suggest early application of free flap surgery.
Methods: A retrospective review was performed from 2010 to 2019, on a total of 34 fourth degree burn patients undergone free flap surgery as primary treatment in our hospital. We reviewed the location of the injury, etiology, TBSA (%), Presence of osteomyelitis, flap choice, complications, period of injury to surgery and healing.
Results: Using free flap as a primary reconstrcuction, the outcome is satisfactory. The treatment period was shortened, and there was less loss of function due to complications. Also the incidence of osteomyelitis and amputation was significantly low.
Conclusion: Applying free flap surgery as soon as possible in fourth degree burns is effective, such as reducing complications such as infection, reducing amputation, shortening treatment period, and preventing severe sequelae.
Keywords : Free tissue flaps, Burns, Reconstructive surgery

December 2020, 23 (2)
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