Abstract

Background: Burns and post-burn sequelae cause significant functional and aesthetic impairments, requiring versatile and effective reconstructive techniques.

Methods: A prospective descriptive study was conducted on 35 patients (15 acute burns, 20 post-burn sequelae) treated at Hue University of Medicine and Pharmacy Hospital (March 2023–February 2025). Surgical interventions included wound debridement, skin grafts, local flaps, free flaps, and autologous fat grafting. Outcomes were assessed based on clinical criteria, postoperative complications, and the Vancouver Scar Scale (VSS) at 6 months.

Results: Thermal burns accounted for 82.9% of cases, with scalds being the most common (51.4%). The lower limb (34.3%) and upper limb (31.4%) were the most frequent sites. Local flaps (40.0%) and free flaps (31.4%) were the predominant techniques. Early postoperative results were good in 82.9% of cases, with major complications in only 2.9%. At 6 months, 91.4% achieved good outcomes, no poor results were recorded, and mean VSS score was 3.6 ± 1.3.

Conclusion: Reconstructive techniques, particularly local and free flaps, provide excellent functional and aesthetic outcomes in burn and post-burn reconstruction. Careful selection of surgical methods tailored to each lesion is crucial for optimizing results and improving patients’ quality of life.