Background. Facial burns represent not only a somatic injury but also a complex psychosocial condition associated with a high risk of psychological disorders and social maladaptation, particularly in children. In 2024, 1.892 patients were treated at the pediatric burn center of G.N. Speransky Children’s City Clinical Hospital No. 9 (Moscow), including 246 (13%) with facial burns and 32 with deep injuries. Objective. To evaluate the effectiveness of a multidisciplinary approach and active surgical strategy in the treatment of deep facial burns in children. Materials and methods. A retrospective analysis of patients with facial burns treated in a specialized burn center in 2024 was performed. Clinical outcomes of a surgical technique for deep total facial burns (RF patent No. 2632776) were assessed. The method includes wound bed preparation, full-thickness skin grafting, graft fixation, and vacuum therapy of donor sites. A clinical case of a 13-year-old patient is presented. Long-term outcomes were evaluated. Results. Full-thickness skin grafting resulted in satisfactory functional and cosmetic outcomes. Four months postoperatively, no significant scar deformities or tissue tension were observed. Vacuum therapy accelerated granulation tissue formation (7—10 days), while subsequent split-thickness grafting ensured complete skin restoration. Conclusion. Management of children with deep facial burns requires treatment in specialized burn centers and a multidisciplinary approach. Full-thickness autodermoplasty using the Bogdanov technique reduces scar formation and improves functional and aesthetic outcomes.
Будкевич et al. (Wed,) studied this question.