A case of repairing the destructive high-voltage electric burn wounds in the head, face, and neck based on the economic theory of flaps
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摘要:
2021年9月8日，太原钢铁（集团）有限公司总医院收治1例18岁男性高压电烧伤导致头面颈部严重毁损伤患者。基于皮瓣经济学理论，术前针对皮瓣供区、移植方式进行优化评价后，行头面颈部创面清创+坏死颅骨去除+超大背阔肌肌皮瓣游离移植+左大腿薄中厚皮片移植术，并将超大的供瓣区创面直接缝合。该术式在保证修复效果前提下，最大限度地减轻了供区的不良后果。术后患者病情平稳，皮瓣及皮片存活良好，创面修复效果良好，供瓣区瘢痕轻微，上肢无功能障碍。 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.-
Key words:
- Burns, electric /
- Surgical flaps /
- Myocutaneous flap /
- Economics of flaps /
- Wound repair
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