A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report
Electrical burn injuries can cause more damage than clinical evaluations initially suggest. The energy waves penetrate from the surface to the deepest layers of tissue, causing extensive harm at every level. The neck is a critical area, both functionally and aesthetically. We present a case involvin...
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| Language: | English |
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Korean Society of Traumatology
2024-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0075.pdf |
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| author | Mainak Mallik Sanjay Kumar Giri M. Vishnu Swaroop Reddy Kallol Kumar Das Poddar |
| author_facet | Mainak Mallik Sanjay Kumar Giri M. Vishnu Swaroop Reddy Kallol Kumar Das Poddar |
| author_sort | Mainak Mallik |
| collection | DOAJ |
| description | Electrical burn injuries can cause more damage than clinical evaluations initially suggest. The energy waves penetrate from the surface to the deepest layers of tissue, causing extensive harm at every level. The neck is a critical area, both functionally and aesthetically. We present a case involving a young male patient with a severe fourth-degree electrical burn on the neck, who underwent a single-stage debridement and reconstructive surgery. The pectoralis major myocutaneous flap is a versatile option for various head and neck reconstructions. However, if the donor site cannot be closed primarily and requires split-thickness skin grafting, it can result in unsightly scars and deformities. For large flap paddles, it is ideal to reconstruct the secondary defect with locoregional flaps. In this case, we successfully reconstructed the donor site's secondary defect using a contralateral internal mammary artery perforator flap, without resorting to any skin grafts. The early postoperative results demonstrated satisfactory cosmesis, patient satisfaction, and functional outcomes. |
| format | Article |
| id | doaj-art-80d42f78ced04b3aa2d6dad0fce53363 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-80d42f78ced04b3aa2d6dad0fce533632025-01-16T06:10:17ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-06-0137215115710.20408/jti.2023.00751306A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case reportMainak Mallik0Sanjay Kumar Giri1M. Vishnu Swaroop Reddy2Kallol Kumar Das Poddar3 Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, India Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, India Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, India Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS) Bhubaneswar, Bhubaneswar, IndiaElectrical burn injuries can cause more damage than clinical evaluations initially suggest. The energy waves penetrate from the surface to the deepest layers of tissue, causing extensive harm at every level. The neck is a critical area, both functionally and aesthetically. We present a case involving a young male patient with a severe fourth-degree electrical burn on the neck, who underwent a single-stage debridement and reconstructive surgery. The pectoralis major myocutaneous flap is a versatile option for various head and neck reconstructions. However, if the donor site cannot be closed primarily and requires split-thickness skin grafting, it can result in unsightly scars and deformities. For large flap paddles, it is ideal to reconstruct the secondary defect with locoregional flaps. In this case, we successfully reconstructed the donor site's secondary defect using a contralateral internal mammary artery perforator flap, without resorting to any skin grafts. The early postoperative results demonstrated satisfactory cosmesis, patient satisfaction, and functional outcomes.http://jtraumainj.org/upload/pdf/jti-2023-0075.pdfelectric burnsneck injuriesreconstructive surgical proceduresmyocutaneous flapscase reports |
| spellingShingle | Mainak Mallik Sanjay Kumar Giri M. Vishnu Swaroop Reddy Kallol Kumar Das Poddar A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report Journal of Trauma and Injury electric burns neck injuries reconstructive surgical procedures myocutaneous flaps case reports |
| title | A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report |
| title_full | A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report |
| title_fullStr | A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report |
| title_full_unstemmed | A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report |
| title_short | A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report |
| title_sort | step by step intraoperative strategy during one stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in india a case report |
| topic | electric burns neck injuries reconstructive surgical procedures myocutaneous flaps case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0075.pdf |
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