Skin grafting of the naso-orbital region as a single aesthetic unit

With improved acute care, a higher percentage of more severely injured faci al burn patients are surviving their burns. When the full face needs resurf acing, total facial resurfacing should ideally be done with a single sheet of full-thickness skin. Unfortunately, this type of single sheet total faci al resurfacing is rarely possible or practical in the case of acute extensi ve burns. The nasoorbital region is a focal point of interpersonal communic ation and needs special emphasis. This report presents two patients with de ep facial bums whose midface regions were resurfaced with thick split-thick ness skin graft as a single aesthetic unit. Since there is no skin graft ju nction line on this region, a more homogeneous appearance and an aesthetica lly superior result could be achieved. (C) 2001 Elsevier Science Ltd and IS BI. All rights reserved.