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

Guo Wanli; Duan Peng; Ming Zhiguo; Wei Taiping

doi:10.3760/cma.j.cn501225-20231101-00170

Volume 40 Issue 1

Jan. 2024

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2024 > 40(1): 87-89

Guo WL,Duan P,Ming ZG,et al.A case of repairing the destructive high-voltage electric burn wounds in the head, face, and neck based on the economic theory of flaps[J].Chin J Burns Wounds,2024,40(1):87-89.DOI: 10.3760/cma.j.cn501225-20231101-00170.

Citation:

PDF( 7841 KB)

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

doi: 10.3760/cma.j.cn501225-20231101-00170

Department of Burns, General Hospital of Taiyuan Iron Steel (Group) Co., Ltd, Taiyuan 030003, China

More Information

Corresponding author: Duan Peng, Email: dp661033@163.com
Received Date: 2023-11-01
Available Online: 2024-01-23

Abstract

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.
- Burns, electric,
- Surgical flaps,
- Myocutaneous flap,
- Economics of flaps,
- Wound repair

FullText(HTML)

References(14)

References

[1]	侯宏义,郭凯,郑朝,等.早期采用游离皮瓣修复头面部严重毁损伤创面的临床研究[J].空军军医大学学报,2023,44(3):262-265.DOI: 10.13276/j.issn.2097-1656.2023.03.013.
[2]	郑朝,胡大海,朱雄翔,等.头面颈部皮肤软组织缺损的显微外科修复[J].中华烧伤杂志,2010,26(4):263-267.DOI: 10.3760/cma.j.issn.1009-2587.2010.04.005.
[3]	郭鹏飞,王旭,魏爱周,等.基于供区保护理念的游离股前外侧分叶穿支皮瓣在头部电烧伤创面修复中的临床应用效果[J].中华烧伤与创面修复杂志,2022,38(1):77-80.DOI: 10.3760/cma.j.cn501120-20201111-00470.
[4]	AithalK, JenaUK, VasireddyS, et al.Reconstruction of scalp defects in electrical burns: challenges and options[J]. J Head Neck Physicia, 2021,9(1):56-58.DOI: 10.4103/jhnps.jhnps_63_20.
[5]	李罡,张志,李孝建,等.腹腔镜下切取大网膜游离移植修复大面积头皮缺损伴颅骨外露创面一例[DB/OL]. 中国临床案例成果数据库,2022(2022-01-19) [2023-11-01].http://journal.yiigle.com/LinkIn.do?linkin_type=cma&DOI=10.3760/cma.j.cmcr.2022.e00315. http://journal.yiigle.com/LinkIn.do?linkin_type=cma&DOI=10.3760/cma.j.cmcr.2022.e00315
[6]	RoseEH.Aesthetic reconstruction of the severely disfigured burned face: a creative strategy for a "natural" appearance using pre-patterned autogenous free flaps[J/OL].Burns Trauma,2015,3:16[2023-11-01].https://pubmed.ncbi.nlm.nih.gov/27574662/.DOI: 10.1186/s41038-015-0014-8.
[7]	李小静,宁金龙,高学宏,等.大面积头皮缺损及颅骨外露的显微外科修复[J].中华显微外科杂志,2004,27(1):30-31.DOI: 10.3760/cma.j.issn.1001-2036.2004.01.011.
[8]	吴海涛,程磊,陶磊,等.游离皮瓣修复头颈部肿瘤术后组织缺损[J].中国眼耳鼻喉科杂志,2019,19(5):325-327,331.DOI: 10.14166/j.issn.1671-2420.2019.05.009.
[9]	马超,陶然,舒军,等.背阔肌肌皮瓣修复较大软组织缺损的方法及供区继发创面的处理[J].中华烧伤杂志,2020,36(12):1199-1203.DOI: 10.3760/cma.j.cn501120-20191121-00439.
[10]	刘晓春,黄东,牟勇,等.髂腹股沟接力皮瓣修复股前外侧皮瓣供区[J].实用手外科杂志,2022,36(2):145-147,206.DOI: 10.3969/j.issn.1671-2722.2022.02.003.
[11]	刘毅.重视供区的美容修复[J].中华烧伤杂志,2020,36(2):81-84.DOI: 10.3760/cma.j.issn.1009-2587.2020.02.001.
[12]	唐举玉,汪华侨,HallockGG,等.关注皮瓣供区问题—减少皮瓣供区损害专家共识[J].中华显微外科杂志,2018,41(1):3-5.DOI: 10.3760/cma.j.issn.1001-2036.2018.01.001.
[13]	张茂红,杜庆安,李侃.肿瘤整形外科技术在头皮肿瘤手术中的应用[J].中国肿瘤外科杂志,2012,4(2):72-75.DOI: 10.3969/j.issn.1674-4136.2012.02.003.
[14]	ZeidermanMR, PuLLQ. Contemporary reconstruction after complex facial trauma[J/OL]. Burns Trauma, 2020, 8:tkaa003[2023-11-01]. https://pubmed.ncbi.nlm.nih.gov/32341916/. DOI: 10.1093/burnst/tkaa003.

Relative Articles

[1]	Yu Junyi, Song Dajiang, Liu Xu, Wang Zhiyuan, Li Zan, Zhang Yixin, Zhou Bo, Lyu Chunliu, Tang Yuanyuan, Yi Liang, Luo Zhenhua, Yang Liyi. Clinical effects of combined tissue flap transplantation for repairinggiant chest wall defects[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(7): 650-656. doi: 10.3760/cma.j.cn501225-20231120-00199
[2]	He Lin, Wang Rui, Zhu Chan, Yu Xueyuan, He Youcheng, Zhou Lin, Zhang Zhuo, Shu Maoguo. Clinical effects of flaps or myocutaneous flaps transplantation after titanium mesh-retaining debridement in repairing the wounds with exposed titanium mesh after cranioplasty[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(3): 273-280. doi: 10.3760/cma.j.cn501225-20231031-00163
[3]	Liu Wenjian, Zhang Hongyan, Liu Dewu. Clinical effects of different types of tissue flaps in repairing the wounds with steel plate exposure and infection after proximal tibial fracture surgery[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(12): 1140-1148. doi: 10.3760/cma.j.cn501225-20231101-00171
[4]	Meng Yanbin, Zhang Hairui, Wei Jianwei, Zhang Yujiao, Li Hushan, Huo Wenliang, Bai Peiyi. Effects of low position lateral supramalleolar flap carrying periosteum and proximal leg propeller flap in relay repair of electric burn wounds of forefoot[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(10): 953-958. doi: 10.3760/cma.j.cn501225-20230421-00138
[5]	Han Fu, Yang Xuekang, He Ting, Wang Luxu, Zhang Nan, Han Juntao. Curative effects of medial plantar free flap in reconstructing electric burn wound and scar contracture in the palm[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(9): 820-825. doi: 10.3760/cma.j.cn501225-20230601-00197
[6]	Xu Junhui, Zhang Wei, Zhou Jinxiu, Chen Lan, Zhang Weidong, Gong Xiang, Xie Weiguo. Clinical effects of free transplantation of inguinal flap in repairing electrical burn wounds of mice in the limbs[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(11): 1030-1037. doi: 10.3760/cma.j.cn501225-20230804-00039
[7]	Chen Liming, Wang Gang, Liu Hong, Zhao Ruomei, Liu Xiaohui, Cao Guangtong, Yao Zongjiang, Li Zhiyong, Liu Yi. Clinical effects of free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(8): 753-757. doi: 10.3760/cma.j.cn501225-20221115-00488
[8]	Xue Jidong, Di Haiping, Liang Yan, Xing Peipeng, Guo Haina, Zhao Xiaokai, Wang Limin, Xia Chengde. Curative effects of foot microflap free transplantation in the repair of full-thickness electric burn wounds deep to tendon or even bone in fingers[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(8): 724-730. doi: 10.3760/cma.j.cn501225-20230323-00094
[9]	Xing Peipeng, Mu Xinling, Xia Chengde, Shi Jijing, Xue Jidong, Yang Gaoyuan, Zhang Jian, Di Haiping. Clinical effects of free hallux-nail flap combined with the second toe composite tissue flap in the reconstruction of damaged thumb after electrical burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(7): 677-682. doi: 10.3760/cma.j.cn501120-20210621-00222
[10]	Guo Pengfei, Wang Xu, Wei Aizhou, Meng Qingnan, Zhou Jian, Gao Ya, Cui Zhengjun. Effects of clinical application of free anterolateral thigh perforator lobulated flap in repair of electrical burn wounds on head based on the concept of donor site protection[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(1): 77-80. doi: 10.3760/cma.j.cn501120-20201111-00470
[11]	Zhao Haiyang, Wang Hongtao, Zhou Qin, Yang Xuekang, Zhu Chan, Dang Rui, Liang Min, Qi Zongshi, Hu Dahai, Shi Xueqin. Application of low temperature thermoplastic plate combined with special abdominal band in fixing abdominal pedicled flap for repairing 17 patients with deep electric burn wounds in hands[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2019, 35(11): 819-820. doi: 10.3760/cma.j.issn.1009-2587.2019.11.010
[12]	Han Juntao, Li Jun, Gao Xiaowen, Jia Wenbin. Effects of ultrathin abdomen flap on repairing deep electric burn wounds in finger of pediatric patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(8): 513-515. doi: 10.3760/cma.j.issn.1009-2587.2018.08.006
[13]	Zhang Cong, Hu Xiaohua, Chen Hui, Ma Chunxu, Qin Fengjun, Wen Chunquan, Shen Yuming. Effects of flap or myocutaneous flap combined with fascia lata or composite mesh on repairing severe high-voltage electrical burn wounds in abdomen of patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2017, 33(10): 602-606. doi: 10.3760/cma.j.issn.1009-2587.2017.10.003
[15]	Di Haiping, Xia Chengde, Xing Peipeng, Li Qiang, Han Dawei, Xue Jidong, Cao Dayong. Clinical effects of repair of wounds in fingers after electrical burn with wrist perforator free flaps[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2017, 33(9): 557-561. doi: 10.3760/cma.j.issn.1009-2587.2017.09.007
[17]	XIE Wei-guo, WANG De-yun, L1U Jie-feng, LONG Zhong-heng, LI Jin, JIANG Mei-jun. Repair of electrical burns on hands with flaps[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2010, 26(1): 30-33. doi: 10.3760/cma.j.issn.1009-2587.2010.01.011

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Figures(1)

Get Citation

PDF

XML

Article Metrics

Article views (223) PDF downloads(27)

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

doi: 10.3760/cma.j.cn501225-20231101-00170

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

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

doi: 10.3760/cma.j.cn501225-20231101-00170

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content