High-Voltage Electrical Burn Requiring Urgent Scalp Reconstruction after Developing a Brain Abscess.

IF 1 Q4 CRITICAL CARE MEDICINE European burn journal Pub Date : 2024-09-03 DOI:10.3390/ebj5030027
Elena Blyth, Elizabeth Vujcich, Darryl Dunn
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Abstract

Electrical burn injuries to the scalp are at risk of extensive tissue damage and neurological complications. We present the case of a patient who came into contact with a high-voltage power line while cherry picking, resulting in a large full-thickness scalp defect. Early on in his presentation, he developed progressive global weakness which remained relatively static during his admission. An incidental finding of an extradural abscess complicated his management, requiring urgent surgical intervention with definitive tissue coverage. The scalp was reconstructed using a free myocutaneous anterolateral thigh flap. There were no postoperative complications. Following rehabilitation, the patient was discharged home with limited functional recovery. He mobilises independently with a wheelchair and requires full-time carers.

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高压电烧伤后出现脑脓肿,需要紧急头皮重建。
头皮电烧伤有可能造成大面积组织损伤和神经系统并发症。我们介绍了一例患者的病例,他在采摘樱桃时接触到高压电线,导致头皮大面积全厚缺损。入院初期,患者出现进行性全身乏力,入院后一直处于相对静止状态。偶然发现的硬膜外脓肿使他的治疗变得更加复杂,需要紧急手术治疗并进行明确的组织覆盖。使用游离肌皮大腿前外侧皮瓣重建了头皮。术后没有出现并发症。康复治疗后,患者出院回家,功能恢复有限。他可以坐轮椅独立行动,但需要全职护理人员照顾。
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