Burn Scars & Contracture Release: Principles

Chapter 30 of Volume 3, Skin, Burns & Surgical Principles. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

23 viva questions in this chapter

1. This young woman has hypertrophic scarring across her forearm after a scald. Why did she scar?
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2. What is going on in a hypertrophic scar?
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3. What is the natural history? When does it stop getting worse?
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4. How do you tell a hypertrophic scar from a keloid?
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5. How would you measure this scar?
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6. This child has hypertrophic scarring across her chest eighteen months after a scald. What is your non-surgical management?
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7. When would you inject a scar, and with what?
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8. This scar is red, itchy and thickened. Would you laser it?
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9. The scar over her sternum is adherent, hard and painful. Would fat grafting help?
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10. What is a burn scar contracture?
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11. How would you grade the severity?
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12. Take me through how you would release a burn scar contracture.
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13. You have released it. How would you resurface it?
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14. What is a fire-break flap?
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15. This man has scarring across his face, neck, both axillae and both hands. Where do you start?
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16. How long do you wait?
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17. This is a six-year-old, two years after a scald, with a band across the antecubital fossa. Do you wait?
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18. This scar on his shin has been breaking down for eight months. What are you thinking?
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19. How would you manage the nodes?
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20. How would you measure whether your reconstruction has worked?
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21. What does the UK burn rehabilitation model look like?
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22. She asks whether you can make it look normal again. What do you say?
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23. What is your first operation, and why that one?
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