Scalp Reconstruction Following Severe Electrical Burn: Case Report and Surgical Outcomes
Main Article Content
Keywords
Plastic Surgery, Electric Burns, Electric Injuries, Surgical Flaps, Debridement
Abstract
Scalp reconstruction, given its rich vascularization and multi-layered anatomy, poses significant surgical challenges due to its anatomical complexity and the necessity for optimal functional and aesthetic outcomes. Objective: To describe a case of severe electrical burn managed with surgical reconstruction. Case: A patient presented with an electrical burn caused by high-voltage cable contact, affecting 11% of the total body surface area: forearm (5%), hand (1%), axillary fold (1%), and scalp and face (4%). The most severe defect, located on the cranial vault (10 × 10 cm), involved third-degree burns and osteomyelitis. Eight surgical procedures were performed, including cranioplasty and reconstruction using the Orticochea flap technique, over a 19-week hospitalization period. Conclusion: Severe electrical burns to the scalp present significant reconstructive challenges. A multidisciplinary approach is essential to achieve satisfactory functional and aesthetic outcomes.
References
2. Żwierełło W, Piorun K, Skórka-Majewicz M, Maruszewska A, Antoniewski J, Gutowska I. Burns: Classification, Pathophysiology, and Treatment: A Review. Int J Mol Sci. 2023;24(4):2001. doi:10.3390/ijms24042001
3. Iribarren BO. Reconstrucción de cuero cabelludo. Cuad Cir. 2018;14(1):80-9.
4. Germann AM, Jamal Z, Al Khalili Y. Anatomy, Head and Neck, Scalp Veins. StatPearls. Treasure Island (FL): StatPearls Publishing; 2024.
5. Kawaguchi M, Kato H, Matsuo M. CT and MRI features of scalp lesions. Radiol Med. 2019;124(10):1049-61. doi:10.1007/s11547-019-01071-9
6. Davison SP, Capone AC. Scalp reconstruction with inverted myocutaneous latissimus free flap and unmeshed skin graft. J Reconstr Microsurg. 2011;27(4):261-6. doi:10.1055/s-0030-1269893
7. Spies M, McCauley RL, Mudge BP, Herndon DN. Management of acute calvarial burns in children. J Trauma. 2003;54(4):765-9. doi:10.1097/01.TA.0000047926.25556.C1
8. Sokoya M, Inman J, Ducic Y. Scalp and Forehead Reconstruction. Semin Plast Surg. 2018;32(2):90-4. doi:10.1055/s-0038-1660834
9. Balaguer-Cambra J, Landín Jarillo L, Hidalgo Gallego JC, Francés Gorospe MJ, Codina García J. Reconstrucción de cuero cabelludo mediante colgajo de galea frontal: a propósito de un caso. Cir Plást Iberolatinoam. 2006;32:49-53.
10. Iribarren Brown O, Ríos Muñoz P, Saavedra Pinto F, Rojas Guzmán M, De Amesti Boza E. Reconstrucción inmediata de cuero cabelludo. Cir Plást Iberolatinoam. 2006;32:55-62.
11. Bizhko IP, Slesarenko SV. Operative treatment of deep burns of the scalp and skull. Burns. 1992;18(3):220-3. doi:10.1016/0305-4179(92)90005-X
12. Hussussian CJ, Reece GP. Microsurgical scalp reconstruction in the patient with cancer. Plast Reconstr Surg. 2002;109(6):1828-34. doi:10.1097/00006534-200205000-00014
13. Craig CB, Douglas S. Scalp reconstructive flaps. Plast Aesthet Res. 2022;9:6. doi:10.20517/2347-9264.2021.62
14. Mahmood M, Eisen D. An algorithmic approach to scalp reconstructive surgery: maximization of cosmetic and functional outcomes. Arch Dermatol Res. 2024;316(5):137. doi:10.1007/s00403-023-02677-z
15. Orticochea M. Four flap scalp reconstruction technique. Br J Plast Surg. 1967;20(2):159-71. doi:10.1016/S0007-1226(67)80007-7
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
RHCS uses the Creative Commons License 4.0 International (CC BY 4.0). For more information, please visit