Bipedicle flap for reconstruction of post-electric scalp burn defect

Kaushik Paul; Saurabh Sharma; Deepashree Paul

doi:10.18203/2349-2902.isj20171588

Authors

Kaushik Paul Department of Plastic Surgery, Apollo Hospital, Kolkata, West Bengal, India
Saurabh Sharma Department of Plastic Surgery, R. G. Kar Medical College, West Bengal, India
Deepashree Paul Department of Dental Surgery, Gurunanak Institute of Dental Science and Research, West Bengal, India

DOI:

https://doi.org/10.18203/2349-2902.isj20171588

Keywords:

Bipedicle scalp flap, Electric burn scalp

Abstract

High-tension electric calvarial burns are extremely rare and difficult to reconstruct. Invariably, these are third- or fourth-degree-deep burns involving the full thickness of the bone. Historically, these wounds have been treated conservatively, adding to morbidity and prolonged treatment. The patient with high-tension electric calvarial burns presented to us two days after the injury with subsequent loss of full thickness of parietal bone. The defect was covered with a local bipedicled scalp flap. The bipedicle flap provides a simple and reliable method of reconstruction of full thickness scalp defect.

Metrics

Metrics Loading ...

References

Argenta LC, Friedman RJ, Dingman RO, Duus EC. The versatility of pericranial flaps. Plastic and reconstructive surgery. 1985;76(5):695-702.

Al-Qattan MM. The use of multifolded pericranial flaps as "plugs" and "pads". Plast Reconstr Surg. 2001;108:336-42.

Potpari Z, Fukuta K, Colen LB, Jackson IT, Carraway JH. Galeo-pericranial flaps in the forehead: a study of blood supply and volumes. Br J Plastic Surg. 1996;49(8):519-28.

Boeckx WD, van der Hulst RR, Nanhekhan LV, De Lorenzi F. The role of free flaps in the treatment of persistent scalp osteomyelitis. Operat Neurosurg. 2006;59(1):ONS-64.

Leedy JE, Janis JE, Rohrich RJ. Reconstruction of acquired scalp defects: an algorithmic approach. Plast Reconstr Surg. 2005;116:54e-72e.

Lutz BS, Wei FC, Chen HC, Lin CH, Wei CY. Reconstruction of scalp defects with free flaps in 30 cases. Br J Plast Surg. 1998;51(3):186-90.

Nakadai M, Takahashi H, Taniguchi M, Ishijima B, Yanai A. Repair of widely infected scalp defect and osteomyelitis with free radial forearm flap: a case report. No shinkei geka. Neurol Surg. 1991;19(7):655-9.

Karsidag S, Özcan A, Ozkaya O, Ugurlu K, Bas L. Use of wide bipedicled pericranial flap in anterior scalp reconstruction. J Craniofacial Surg. 2009;20(6):2248-51.

Tolhurst DE, Carstens MH, Greco RJ, Hurwitz DJ. The surgical anatomy of the scalp. Plast Reconstruct Surg. 1991;87(4):603-12.