Keywords
flap
electrical burns
How to Cite
Abstract
Scalp burns are uncommon and rare. When they occur, they are usually caused by high electrical voltage. Reconstruction of scalp defects due to electrical burns is difficult, in part due to the extent of the defect, poor tissue mobility, and lack of certain resources. An unconventional technique was performed for coverage since it was accompanied by loss of bone tissue. A 66- year-old male patient is presented, who arrives at the emergency area of the Guayaquil “Abel Gilgert Pontón” Hospital because he suffered injuries from high-voltage electrical burns. He received the corresponding medical-surgical treatment, debridement of necrotic tissue on the scalp and exceresis of the biparietal bone table, leaving the medial area reamed and then placing foot grafts. In this way, the tissue defect at the scalp level can be resolved with tissue expanders. An adequate aesthetic result was not achieved since the patient refused to complete it.
References
Morais Oliveira T, Brito da Costa C, Silva Boulhosa FJ, Nicolau da Costa LR, Cordeiro de Macêdo R, Esteves da Silva PK, et al. Fisioterapia em grande queimado: relato de caso em centro de tratamento de queimados na Amazônia brasileira. Rev Bras Queimaduras. 2015[citado 18 abr 2017];14(4):285-9. Disponible en: http://www.rbqueimaduras.com.br/export-pdf/279/v14n4a08.pdf [ Links ]
Pereira N, Léniz P, Enríquez E, Mangelsdorff G, Piñeros B, Calderón W. Experiencia en el tratamiento de quemaduras de cuero cabelludo. Cir Plást Iberolatinoam. 2013[citado 18 abr 2017];39(1):61-5. Disponible en: http://scielo.isciii.es/pdf/cpil/v39n1/original8.pdf [ Links ]
Tarragona Fernández R, Ferreiro González I, Gabilondo Zubizarreta FJ. Lesión eléctrica de alto voltaje en cabeza y extremidades en paciente de 15 años. Cir Plást Iberolatinoam. 2015[citado 18 abr 2017];41(3):321-8. Disponible en: http://scielo.isciii.es/pdf/cpil/v41n3/original11.pdf [ Links ]
Delgado Ruiz T, Simón Sanz E, Villaverde Doménech E, Forés Zaragoza A, Pérez del Caz MD. El colgajo fasciocutáneo dorsal ulnar en quemaduras eléctricas de la mano: un colgajo constante, rápido y seguro. Cir Plást Iberolatinoam. 2016[citado 18 abr 2017];42(1):65-72. Disponible en: http://scielo.isciii.es/pdf/cpil/v42n1/miembro_superior3.pdf [ Links ]
Arriagada C, Soto C, Peña V, Villegas J. Compromiso intestinal por quemadura eléctrica de alto voltaje. Caso clínico. Cir Plást iberolatinoam. 2013[citado 18 abr 2017];39(4):419-22. Disponible en: http://scielo.isciii.es/pdf/cpil/v39n4/original13.pdf [ Links ]
Araújo de Oliveira R, Bersan ML, Dupin AE, Odair Viel D, Veloso Silva P, Guimarães Leão CE. Abordagem de queimaduras elétrica em membro superior. Rev Bras Queimaduras. 2013[citado 18 abr 2017];12(3):187-91. Disponible en: http://www.rbqueimaduras.com.br/export-pdf/167/v12n3a11.pdf [ Links ]
Hechavarría Jiménez, Rojas Bruzón R, Gonce Cutié WA, Quintana Santana K. Uso de expansores tisulares en defecto de cuero cabelludo. CCM. 2016[citado 18 abr 2017];20(2):426-33. Disponible en: http://scielo.sld.cu/pdf/ccm/v20n2/ccm19216.pdf [ Links ]
Arce C, Arredondo E, Orengo R, Rodríguez C, Marchiano JJ, Borgatello A. Expansión tisular controlada en lesión grave de cuero cabelludo. Rev Argent Cir Plást. 2010[citado 18 abr 2017];16(3):101-4. Disponible en: http://www.sacper.org.ar/revistas/2010/3/files/assets/downloads/publication.pdf [ Links ]
Sorolla JP, Obaid, Ibarra C, Arbulo D, Bautista A, Wisnea P, et al. Expansores tisulares en reconstrucción de defectos craneofaciales: estudio multicéntrico retrospectivo. Cir Plást Iberolatinoam. 2014[citado 14 mar 2017];40(4):413-20. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922014000400008&lng=es [ Links ]
Mclean DH, Buncke HJ. Autotransplant of omentum to a large scalp defect with microsurgical revascularization. Plast Reconstr Surg 1972;49:268-70.
Parrett BM, Pomahac B, Orgill DP, Pribaz JJ. The Role of Free-Tissue Transfer for Head and Neck Burn Reconstruction. Plast Reconstr Surg 2007;120:1871-8.
Shen Z. Reconstruction of refractory defect of scalp and skull using microsurgical free flap transfer. Microsurgery 1994;15:633-8.
Sarikaya A, Aygit AC. Combined 99mTc MDP bone SPECT and 99mTc sestamibi muscle SPECT for assessment of bone regrowth and free muscle flap viability in an electrical burn of scalp. Burns 2003;29:385-8.
Hierner R, van Loon J, Goffin J, van Calenbergh F. Free latissimus dorsi flap transfer for subtotal scalp and cranium defect reconstruction: report of 7 cases. Microsurgery 2007;27:425-8.
Hussussian CJ, Reece GP. Microsurgical scalp reconstruction in the patient with cancer. Plast Reconstr Surg 2002;109:1828-34.
Yeong EK, Huang HF, Chen YB, Chen MT. The use of artificial dermis for reconstruction of full thickness scalp burn involving the calvaria. Burns 2006;32:375-9.
Navsaria HA, Ojeh NO, Moiemen N, Griffiths MA, Frame JD. Reepithelialization of a Full-Thickness Burn from Stem Cells of Hair Follicles Micrografted into a Tissue-Engineered Dermal Template (Integra). Plast Reconstr Surg 2004;113:978-81.
Fan J, Wang J. The "Silicone Suture" for Tissue Expansion. Plast Reconstr Surg 2004;114:484-8.
Siemionow MZ, Kulahci Y, Bozkurt M. Composite Tissue Allotransplantation. Plast Reconstr Surg 2009;124:327e.
Buncke HJ, Hoffman WY, Alpert BS, Gordon L, Stefani AE. Microvascular transplant of two free scalp flaps between identical twins. Plast Reconstr Surg 1982;70:605-9.
Jiang HQ, Wang Y, Hu XB, Li YS, Li JS. Composite tissue allograft transplantation of cephalocervical skin flap and two ears. Plast Reconstr Surg 2005;115:31e-35e.
Leedy JE, Janis JE, Rohrich RJ. Reconstruction of acquired scalp defects: an algorithmic approach. Plast Reconstr Surg 2005;116:54e-72e.
Jeong SH, Koo SH, Han SK, Kim WK. An Algorithmic Approach for Reconstruction of Burn Alopecia. Ann Plast Surg 2010;65:330-7.
Duff K, McCafrrey RJ. Electrical injury and lightning injury: a review of their mechanisms and neuropsychological, psychiatric, and neurological sequelae. Neuropsychol Rev 2001;11:101-16.
Pliskin NH, Ammar AN. Neuropsychological changes following electrical injury. J Int Neuropsychol Soc. 2006;12:17-23.
Nayeb-Hashemi N, Rosenberg M, Rosenberg L, Sharp S, Thomas C, Holzer C 3rd, et al. Skull burns resulting in calvarial defects: Cognitive and affective outcomes. Burns 2009;35:237-46.