{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:30:33Z","timestamp":1780605033720,"version":"3.54.1"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1992,1,1]],"date-time":"1992-01-01T00:00:00Z","timestamp":694224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The management of postburn reconstruction is complicated by the frequent occurrence of multiple reconstructive needs in a single patient. This article presents a simple, comprehensive approach to burn scar reconstruction. The primary aim of the surgeon is to prevent burn scar deformity by rapid wound closure, correction of tissue deficiencies, and assiduous attention to postoperative splinting and compression therapy. The initial step in managing secondary deformities is to prioritize reconstructive needs. Reconstruction is then carried out in a stepwise fashion aiming to restore active function first, followed by passive function, and finally addressing aesthetic reconstruction. Reconstructive techniques are applied in a hierarchy from simplest to most complex. Primary excision and closure of scars by reorientating the scar to the lines of relaxed skin tension can significantly improve appearance. The use of z\u2010plasty, flap repair, and tissue expansion are also reviewed. Skin expansion, in particular, has become the standard management of postburn alopecia and, although associated with a relatively high rate of complication, has significantly improved the aesthetic appearance of such patients. The management of common problems affecting the face is discussed with particular reference to management of the eyelids, oral commissure, and lips. These areas need to be reconstructed as aesthetic units and each requires individualized management of donor tissue. The reconstruction of the burn patient is often a long process requiring multiple procedures. The approach presented here advocates a stepwise, prioritized approach aiming at both maximum function as well as optimal appearance.<\/jats:p>","DOI":"10.1007\/bf02067119","type":"journal-article","created":{"date-parts":[[2005,8,12]],"date-time":"2005-08-12T14:21:48Z","timestamp":1123856508000},"page":"87-96","source":"Crossref","is-referenced-by-count":91,"title":["Prevention and treatment of postburn scars and contracture"],"prefix":"10.1002","volume":"16","author":[{"given":"Martin C.","family":"Robson","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery University of Texas Medical Branch and Shriners Burns Institute Galveston Texas USA"},{"name":"Department of Plastic Surgery Royal North Shore Hospital Sydney Australia"},{"name":"Burns Unit Royal Adelaide Hospital Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Barnett","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery University of Texas Medical Branch and Shriners Burns Institute Galveston Texas USA"},{"name":"Department of Plastic Surgery Royal North Shore Hospital Sydney Australia"},{"name":"Burns Unit Royal Adelaide Hospital Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian O. W.","family":"Leitch","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery University of Texas Medical Branch and Shriners Burns Institute Galveston Texas USA"},{"name":"Department of Plastic Surgery Royal North Shore Hospital Sydney Australia"},{"name":"Burns Unit Royal Adelaide Hospital Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter G.","family":"Hayward","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery University of Texas Medical Branch and Shriners Burns Institute Galveston Texas USA"},{"name":"Department of Plastic Surgery Royal North Shore Hospital Sydney Australia"},{"name":"Burns Unit Royal Adelaide Hospital Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1992,1]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(88)80352-4"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/03008207409152245"},{"key":"e_1_2_1_4_1","first-page":"353","volume-title":"The Art and Science of Burn Care","author":"Salisbury R.E.","year":"1987"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197110000-00001"},{"key":"e_1_2_1_6_1","first-page":"373","volume-title":"The Art and Science of Burn Care","author":"Robson M.C.","year":"1987"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004630-198911000-00020"},{"key":"e_1_2_1_8_1","first-page":"196","volume-title":"Essential Surgical Practice","author":"Robson M.C.","year":"1982"},{"key":"e_1_2_1_9_1","first-page":"274","volume-title":"Symposium on Basic Science in Plastic Surgery","author":"Koss N.","year":"1976"},{"key":"e_1_2_1_10_1","first-page":"149","volume-title":"Advances in Plastic Surgery, volume 4","author":"Robson M.C.","year":"1987"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0305-4179(75)90044-3"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01553550"},{"key":"e_1_2_1_13_1","first-page":"53","article-title":"Early vascular grafting to prevent upper extremity necrosis after electrical burns","volume":"97","author":"Wang X.","year":"1984","journal-title":"China Med. 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