Treating Post-burn Cicatricial Deformities and Defects of the Cranial Vault with Local Plastic Surgery

Aims: This study aimed to describe a new method of plastic surgery for deformities of the cranial vault. The focus of the study was an analysis of the results of conventional and developed by authors techniques for the plastic surgery of post-burn scars and defects of the cranial vault. Materials Methods: The patients were divided into two groups: the main group, which used the newly developed method of plastic surgery (n=36), and the compared group – the conventional method of local plastic surgery (n=33). The investigation presented the surgical technique using a clinical case study. Findings: The authors developed a technique, which includes intraoperative balloon dermotension of the tissues surrounding the defect and an improved method of wound closure (“figure-of-eight suture”). Conclusion: The advantages of the new technique are the relative simplicity of the procedure, the option of using local anesthesia, a low rate of postoperative complications, and a short postoperative period. In addition, the method used allows for good aesthetic results in the long term.