Face burn treatment

The human face is the seat of expression and beauty and the burned face is a physical and psychological insult to the patient. The facial skin drapes over a complex anatomy of muscles and sphincters, it has a rich blood supply and burn depth assessment is an important step in early management. Goals of acute facial burn management include obtaining early reepithelialisation, minimizing functional sequelae and preserving aesthetic landmarks.Anatomy and pathophysiology: An understanding of the anatomy of this region is essential before proceeding to outline the management of facial burn injuries. The face is an extremely complex anatomic structure consisting of skin, fat, and muscle draped over the facial bony architecture. The face has important sphincter structures and vital sensory organs of sight, hearing, smell, taste, and touch.Acute face burn treatment: The treatment principles can be broadly classified into three groups based on the depth of the burn: 1- Epidermal and superficial partialthickness burns, 2- Deep or full-thickness burns, and 3- Intermediate or indeterminate thickness of burns.Surgical management of the facial burn wound– early excision: A-Tangential excision: The general consensus agrees that a face wound that would require 3 weeks or more to heal spontaneously is a candidate for early excision. The early excision is, however, delayed for a period of 7–10 days to definitely ascertain without a doubt as to which areas would heal spontaneously and the areas that would require excision.Wound care: Topical agents (Antiseptics-Antimicrobials-Antibiotics and Antifungal—Enzymatic debriding agents). Wound dressings or skin substitutes (Biologic dressings, e.g., amnion-synthetic dressing .