Table Of Content~ SpringerWienNewYork
Lars-Peter Kamolz, Marc G. Jeschke,
Raymund E. Horch, Markus Küntscher,
Pavel Brychta (editors)
Handbook of Burns
Reconstruction and Rehabilitation
Volume 2
SpringerWienNewYork
Lars-Peter Kamolz, M.D., M.Sc.
Plastische, Aesthetische und Rekonstruktive Chirurgie, Landesklinikum Wiener Neustadt,
Wiener Neustadt, Austria
Marc G. Jeschke, M.D., Ph.D.
Sunnybrook Health Sciences Centre, Department of Surgery, Division of Plastic Surgery University of
Toronto, Sunnybrook Research Institute, Toronto, ON, Canada
Raymund E. Horch, M.D., Ph.D.
Universitätsklinikum Erlangen, Plastisch- und Handchirurgische Klinik, Erlangen, Germany
Markus Küntscher, M.D., Ph.D.
Evangelische Elisabeth Klinik Krankenhausbetriebs gGmbH, Berlin, Germany
Pavel Brychta, M.D., Ph.D., C.Sc.
Prednosta Kliniky popálenin, a rekonstrukcní chirurgie, FN Brno, Czech Republic
This work is subject to copyright.
All rights are reserved, whether the whole or part of the material is concerned, specifically those of trans-
lation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machines or simi-
lar means, and storage in data banks.
Product Liability: The publisher can give no guarantee for all the information contained in this book. This
does also refer to information about drug dosage and application thereof. In every individual case the
respective user must check its accuracy by consulting other pharmaceutical literature.
The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a
specific statement, that such names are exempt from the relevant protective laws and regulations and
therefore free for general use.
© 2012 Springer-Verlag/Wien
SpringerWienNewYork is part of
Springer Science+Business Media
springer.at
Typesetting: Jung Crossmedia Publishing GmbH, 35633 Lahnau, Germany
Printed on acid-free and chlorine-free bleached paper
SPIN: 12679652
With 175 (partly coloured) figures
Library of Congress Control Number: 2011943501
ISBN 978-3-7091-0314-2 SpringerWienNewYork
Preface
Dear Colleagues, possible as a result of teamwork between different
specialists and disciplines. This book offers a quick
Over the past decades, extraordinary advances have orientation, but also profound overview about burn
been made in the understanding of cellular and mo- reconstruction and rehabilitation.
lecular processes involved in acute wound healing. Sincere appreciation goes to Günther Meissl,
This knowledge has led to wound care innovations who was my teacher and mentor for many years; he
and new developments concerning burn care; burn has aroused my interest concerning burn care and
care has improved to the extent that persons with burn research. Moreover, I like to thank David Hern-
burns can frequently survive. don and his staff for the interesting and meaningful
The trend in current treatment extends beyond time in Galveston.
the preservation of life; the ultimate goal is the return I am grateful to the Springer publishing staff for
of burn victims, as full participants, back into their their support and cooperation in the development
families and communities. and preparation of this new handbook. I wish to rec-
The possibility of surviving burn injuries has ognize Katrin Stakemeier, who guided this book
changed dramatically over the past decades. One of throughout the development process.
the milestones was a more aggressive approach con- Finally, I would like to thank my wife, Birgit, and
cerning surgery; early wound debridement and early my kids, Emilia and Moritz, for their invaluable sup-
wound coverage has led to a higher survival rate, but port. I love you.
also to a higher number of patients, who will require
reconstructive surgery and specialized after care. Lars-Peter Kamolz
I would like to express my deep appreciation to
my co-editors, colleagues and friends for their distri-
bution to this new book on burn reconstruction and
rehabilitation. The authors have tried to achieve the
highest degree in actuality and practical relevance
within the field of burn reconstruction and rehabili-
tation.
Moreover, this book demonstrates that success-
ful burn treatment with good long time result is only
Contents
List of contributers. . . . . . . . . . . . . . . . . . . . . . . . . . IX P. D. H. M. Verhaegen, M. B. A. van der Wal,
E. Miffelkoop, P. P. M. van Zuijlen
Scar assessment ............................ 69
Burn injuries and their psychosocial and
M. Giretzlehner, L.-P. Kamolz, J. Dirnberger,
long time consequences
R. Owen
The future of wound documentation:
S. Sharp, W. J. Meyer
three-dimensional, evidence-based, intuitive
Acute stress disorder and post traumatic
and thorough .............................. 91
stress disorder in individuals suffering from
burn injury. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 M. Michaelidou, M. Frey
Evaluation of mimic function in patients with
S. Wiechman
facial burns by use of the three-dimensional
Long term consequences of burn injuries ..... 15
video-analysis .............................. 97
L.-P. Kamolz, M. G. Jeschke
Burn wound healing, documentation, Rehabilitation and scar management ......... 103
scar management and rehabilitation
K. Kowalske, S. J. McEntire, O. E. Suman
A. Elbe-Bürger Exercise .................................... 109
Skin architecture and function ............... 29
L. Teot, S. Otman, A. Brancati, R. Mittermayr
Burn reconstruction
Burn wound healing: Pathophysiology ........ 47
(Principles and techniques)
L. Teot, S. Otman, A. Brancati, R. Mittermayr
L.-P. Kamolz, D. B. Lumenta
Burn scar treatment. . . . . . . . . . . . . . . . . . . . . . . . . 55
Principles of burn reconstruction. . . . . . . . . . . . . 125
N. Pallua, E. Demir
Tissue expanders in burn surgery. . . . . . . . . . . . . 137
VII
Contents
R. E. Horch, V. J. Schmidt L.-P. Kamolz, M. Keck, H. Selig, D. B. Lumenta
Burn reconstruction: Skin substitutes and Reconstruction/Correction of burn alopecia .... 245
tissue engineering .......................... 149
E. Koellensperger, G. Germann
M. C. T. Bloemen, P. P. M. van Zuijlen, Burn reconstruction: Breast. . . . . . . . . . . . . . . . . . 251
E. Middelkoop
C. Ottomann, B. Hartmann
Twelve year follow-up: a clinical study on
Reconstruction of burn deformities of the
dermal regeneration ........................ 169
lower extremity ............................. 261
M. Keck, D. B. Lumenta, L.-P. Kamolz
T. Schenck, R. E. Giunta
Generation of adipose tissue based in tissue
Thermal injuries to the foot .................. 269
engineering: An overview .................... 181
H. B. Kitzinger, B. Karle, M. Frey
Burn reconstruction: Hand and upper
Burn reconstruction (Specific regions) extremity .................................. 287
N. Pallua, E. Demir
Burn reconstuction: Neck region ............. 191
Burn reconstruction (Future perspectives)
A. Heckmann, P. M. Vogt
M. Siemionow, F. Zor
Burn reconstruction: Eye region ............. 203
Facial transplantation ....................... 303
A. Burd
D. C. Aszmann, H. Dietl, T. Paternostro, M. Frey
Reconstruction of the post burn ear .......... 213
Modern myoprostheses in electric burn
T. A. Spanholtz, R. E. Giunta injuries of the upper extremity ............... 311
Reconstruction of the perioral region after
facial burns ................................ 227
Subject index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
L.-P. Kamolz, M. Keck, H. Selig, D. B. Lumenta
Nasal reconstruction ........................ 241
VIII
List of contributers
Oskar C. Aszmann, M.D., Ph.D. Erhan Demir, M.D.
Division of Plastic and Reconstructive Surgery Department of Plastic Surgery and Hand Surgery
Department of Surgery Burn Center University Hospital RWTH Aachen
Medical University of Vienna Aachen University of Technology
Vienna, Austria Aachen, Germany
Monica C. T. Bloemen, M.D. Hans Dietl, Ph.D.
Association of Dutch Burn Centers Division of Research & Development
Beverwijk, The Netherlands Otto Bock HealthCare Products
Vienna, Austria
Burn Center, Red Cross Hospital
Beverwijk, The Netherlands
Johannes Dirnberger, M.Sc.
Johannes Kepler University Linz
Antonio Brancati, M.D.
RISC Software GmbH
Burns Unit, Wound Healing Unit
Division of Medical Informatics
Lapeyronie Hospital
Hagenberg, Austria
Montpellier University Hospital
Montpellier Cedex, France
Adelheid Elbe-Bürger, Ph.D.
Department of Dermatology
Andrew Burd, M.D., Ph.D.
Division of Immunology
Division of Plastic, Reconstructive and
Allergy and Infectious Diseases (DIAID)
Aesthetic Surgery, Department of Surgery
Medical University of Vienna
The Chinese University of Hong Kong
Vienna, Austria
Prince of Wales Hospital
Hong Kong, China
IX
List of contributers
Manfred Frey, M.D., Ph.D. Lars-Peter Kamolz, M.D., Ph.D., M.Sc.
Division of Plastic and Reconstructive Surgery Section of Plastic, Aesthetic and Reconstructive
Department of Surgery Surgery
Medical University of Vienna Department of Surgery
Vienna, Austria Landesklinikum Wiener Neustadt
Wiener Neustadt, Austria
Guenter Germann, M.D., Ph.D.
Division of Plastic and Reconstructive Surgery
ETHIANUM Department of Surgery
Clinic for Plastic, Aesthetic & Preventive Medicine Medical University of Vienna
at Heidelberg Vienna, Austria
University Hospital
Heidelberg, Germany Birgit Karle, M.D.
Division of Plastic and Reconstructive Surgery
Michael Giretzlehner, Ph.D., M.Sc.
Department of Surgery
Johannes Kepler University Linz Medical University of Vienna
RISC Software GmbH Vienna, Austria
Division of Medical Informatics
Hagenberg im Mühlkreis, Austria Maike Keck, M.D.
Division of Plastic and Reconstructive Surgery
Riccardo E. Giunta M.D., Ph.D.
Department of Surgery
Department Hand Surgery Medical University of Vienna
Plastic and Aesthetic Surgery Vienna, Austria
Ludwig-Maximilians Universität München
Munich, Germany Hugo Benito Kitzinger M.D.
Division of Plastic and Reconstructive Surgery
Bernd Hartmann M.D.
Department of Surgery
Zentrum für Schwerbrandverletzte mit Medical University of Vienna
Plastischer Chirurgie Vienna, Austria
Unfallkrankenhaus Berlin
Berlin, Germany Eva Koellensperger, M.D.
Department for Hand-, Plastic- and
Andreas Heckmann M.D.
Reconstructive Surgery
Department of Plastic, Hand, and Reconstructive Intensive Burn Care Unit
Surgery BG-Trauma Centre Ludwigshafen
Medizinische Hochschule Hannover
Department for Plastic- and Hand Surgery
Hannover, Germany
The University of Heidelberg
Ludwigshafen, Germany
Raymund E. Horch, M.D., Ph.D.
Department of Plastic and Hand Surgery
Karen J. Kowalske, M.D.
University of Erlangen-Nürnberg Medical Center
Department of Physical Medicine
Erlangen, Germany
and Rehabilitation
University of Texas Southwestern Medical Center
Marc G. Jeschke, M.D., Ph.D., FACS, FRCSC
Dallas, TX USA
Sunnybrook Health Sciences Centre
Ross Tilley Burn Centre
Toronto, Canada
X
List of contributers
David B. Lumenta, M.D. Christian Ottomann M.D.
Division of Plastic and Reconstructive Surgery Plastische Chirurgie und Handchirurgie
Department of Surgery Intensiveinheit für Schwerbrandverletzte
Medical University of Vienna Universitätsklinikum Schleswig-Holstein
Vienna, Austria Campus Lübeck, Lübeck, Germany
Serina J. McEntire, M.D. Robert Owen, M.Sc.
Shriners Hospitals for Children, and Department Johannes Kepler University Linz
of Surgery RISC Software GmbH
University of Texas Medical Branch Division of Medical Informatics
Galveston, TX, USA Hagenberg im Mühlkreis, Austria
Walter J. Meyer III, M.D. Tatjana Paternostro, M.D., Ph.D.
Department of Psychological and Department of Physiotherapy and Rehabilitation
Psychiatric Services Medical University of Vienna
Shriners Hospitals for Children Vienna, Austria
Galveston, TX, USA
Norbert Pallua, M.D., Ph.D.
Maria Michaelidou, M.D. Department of Plastic Surgery and Hand Surgery
Division of Plastic and Reconstructive Surgery Burn Center University Hospital RWTH Aachen
Department of Surgery Aachen University of Technology
Medical University of Vienna Aachen, Germany
Vienna, Austria
Thilo Schenck, M.D.
Esther Middelkoop, Ph.D. Klinik und Poliklinik für Plastische Chirurgie
Department of Plastic, Reconstructive, and und Handchirurgie
Hand Surgery Klinikum rechts der Isar
VU Medical Centre Amsterdam Technische Universität München
Amsterdam, The Netherlands München, Germany
Rainer Mittermayr, M.D. Volker J. Schmidt, M.D.
Burns Unit, Wound Healing Unit Department of Plastic and Hand Surgery
Lapeyronie Hospital University of Erlangen-Nürnberg Medical Center
Montpellier University Hospital Erlangen, Germany
Montpellier Cedex, France
Harald Selig, M.D.
Sami Otman, M.D. Section of Plastic, Aesthetic and Reconstructive
Burns Unit, Wound Healing Unit Surgery
Lapeyronie Hospital Department of Surgery
Montpellier University Hospital Landesklinikum Wiener Neustadt
Montpellier Cedex, France Wiener Neustadt, Austria
XI
