A case of repairing the destructive high-voltage electric burn wounds in the head, face, and neck based on the economic theory of flaps

VernacularTitle:基于皮瓣经济学理论修复头面颈部毁损性高压电烧伤创面1例
Author: Wanli GUO ¹ ; Peng DUAN ; Zhiguo MING ; Taiping WEI
Author Information

1. 太原钢铁（集团）有限公司总医院烧伤科，太原　030003
Keywords: Burns, electric; Surgical flaps; Myocutaneous flap; Economics of flaps; Wound repair
From: Chinese Journal of Burns 2024;40(1):87-89
CountryChina
Language:Chinese
Abstract: In September 8 th, 2021, a male patient (aged 18 years) with severe destructive injuries of high-voltage electric burns in the head, face, and neck was admitted to General Hospital of Taiyuan Iron Steel (Group) Co., Ltd. Based on the economic theory of flaps, the flap donor site and transplantation method were optimized and evaluated before surgery, and then debridement of head, face, and neck wounds+removal of necrotic skull+free transplantation of super large latissimus dorsi myocutaneous flap+thin intermediate thickness skin graft transplantation from the left thigh was performed. The extra large flap donor site wound was sutured directly. This surgery reduced the adverse consequences of the flap donor site on the premise of ensure of repair effect. After operation, the patient's condition was stable, the flap and skin graft survived well, the repair effect of wound was well, the scar in the flap donor area was relatively mild, and the upper limb had no dysfunction.