Purpose:

The optimal management for deep facial burns remains controversial due to concern for poor aesthetic and functional results, and there is a paucity of literature addressing surgical outcomes.

Methods and Materials:

We conducted a retrospective chart review of all facial burns treated at a verified Burn Center from 2000-2005. Patient records were retrieved using the American Burn Database, hospital records, and office charts. Serial photographs of each patient were reviewed and patients were contacted to answer a phone interview. All procedures were performed by a single group of burn surgeons using a standardized technique. Study approval was obtained through the Institutional Review Board.

Results:

During the study period, 67/2630 patients (2.5%) admitted to our burn center had deep facial burns. 54 of these patients (81%) healed within 14 days of injury and did not require surgical intervention. The remaining 13 patients were treated with early excision and grafting of their facial burns. Complications included burn scar contracture of neck (n=1), microstomia (n=2), and entropian (n=1).

Conclusions:

Based on our survey results and postoperative photographic documentation, early excision and grafting of deep facial burns not expected to heal within 14 days of injury results in acceptable aesthetic and functional outcomes.