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Thermographic analysis of facially burned patients

Horta, R. ; Nascimento, R. ; Vilas-Boas, J. ; Sousa, F. ; Orvalho, V. ; Silva, A. ; Amarante, J.

Burns Vol. 42, Nº 1, pp. 236 - 238, February, 2016.

ISSN (print): 0305-4179
ISSN (online):

Journal Impact Factor: 1,950 (in 2015)

Digital Object Identifier: 10.1016/j.burns.2015.10.021

The skin temperature of a healthy human body exhibits a contralateral symmetry. A relationship exists between facial blood flow and surface temperature. We have analyzed a 24 year-old male patient with severe cosmetic and functional facial burn sequelae (Fig. 1). He was submitted to several reconstructive operations, including skin grafts (for both superior and inferior eyelids, frontal and right zygomatic regions, as well as nasal dorsum) and use of dermal regeneration templates – Integra (lower lip, mental region, neck and both hands) in order to improve his appearance, but a disfigured face remains. The patient does not consider facial transplantation at the present time, and other options should be investigated.
Thermographic measurements were taken 5 years after
injury using a FLIRSC7000thermographycamera(FLIR Systems, Wilsonville, OR, USA) with a Hot Metal colored lens filter which was previous configured to a 30–40 8C temperature range. The subject sat on a chair at a distance of 1.5 m from the camera and was asked to perform four facial expressions: facial expression
at rest, with eyes closed, eyes wide open and smile.