Wound repair of extensive scalp defect complicated with skull exposure caused by high voltage electric burn: a case report
10.3760/cma.j.cn114453-20220927-00299
- VernacularTitle:高压电烧伤致大面积头皮缺损、颅骨外露创面修复1例
- Author:
Shufang TIAN
1
;
Shuaipeng GU
;
Yan ZHAO
;
Xuejin TAO
;
Chuanyu HU
;
Chunming HUANG
;
Tao LIU
;
Wei GAO
Author Information
1. 华中科技大学同济医学院附属同济医院创伤外科，武汉 430030
- Keywords:
Burns, electric;
High voltage;
Compound injury;
Vacuum sealing drainage;
Anterolateral thigh flap;
Wound repair
- From:
Chinese Journal of Plastic Surgery
2023;39(5):576-579
- CountryChina
- Language:Chinese
-
Abstract:
It is difficult to treat severe burn combined injury caused by high voltage. This paper reports the successful treatment of a patient with large cranial area third degree burn, skull exposure, local skull carbonization combined with cerebrospinal fluid leakage caused by ten thousand volts high voltage current. Vacuum sealing drainage was given to protect the wounds from infection after multiple limited debridement in the early stage. The external of the inactivated skull was cleaned in the later stage. Finally, the bilateral anterolateral thigh flap combined with multiple burr holes was used to repair the wound. There were no severe postoperative complications, and the therapeutic effect was satisfactory.
