Citation

Prodanov SS, Benkova EG, Chokoeva AA. Dermatol. Ther. 2018; 31(2): e12581.

Affiliation

Department of Dermatology and Venereology, Medical University of Plovdiv, Plovdiv, 4002, Bulgaria.

Copyright

(Copyright © 2018, John Wiley and Sons)

DOI

10.1111/dth.12581

PMID

29193531

Abstract

Electrical burns are group of traumatic injuries with a mortality rate of 3-15%. High-voltage induced extensive electric burns are rarely seen in the cranial area, compared to upper and lower limbs, but extremely difficult for treatment, due to the limited flexibility in this area. The spectrum of therapeutic interventions in electrical burns in general, evolving initial necrectomy, decompression, and aggressive debridement with early skin coverage is usually not enough in cases of extensive cranial defects. The performance of a suitable flap combined with skin graft in donor site, and further implantation of expander is challenging in this area. We present a case of a high-voltage induced extra-large cranial injury in a 38-year-old man, treated with modified single large rotation flap and a split skin-thickness graft technique, for optimal defect closuring with satisfied aesthetic result.

© 2017 Wiley Periodicals, Inc.

Language: en

Keywords

cranial defect; electrical burns; high-voltage injury; rotation flap; split-thickness skin graft