Arch Hand Microsurg.  2019 Dec;24(4):381-387. 10.12790/ahm.2019.24.4.381.

Salvage Procedure of a Lower Leg in a Contact Burn: Latissimus Dorsi Muscle Free Flap and Scalp Skin Graft

Affiliations
  • 1Department of Burn Reconstructive Surgery, Bestian Seoul Hospital, Seoul, Korea. sjoh46@nate.com
  • 2Department of Burn Surgery, Bestian Seoul Hospital, Seoul, Korea.

Abstract

Intentional carbon monoxide (CO) poisoning has become rapidly increased occurrence, also if the surviving patient is burnt and unconscious, the patient's burn wound is likely to be severely deep and to need flap surgery. A 44-year-old female patient suffered from a deep contact burn to the left posterior lower leg during intentional CO poisoning. The patient underwent escharotomy and treatment with a latissimus dorsi muscle neuro-vascularized free flap and scalp skin grafts. While harvesting 0.008 inches (300 cm²) of the scalp skin, some 25 cm² of the skin was accidentally harvested as a thick split-thickness skin graft (SSG) from the right occipital scalp. Interfollicular epidermal and dermal regeneration was achieved at eleven days postoperatively at the thick SSG donor site. The patient's deep burn wound was reconstructed by two staged surgeries. The patient was able to walk with the help of a supportive shoe one year postoperatively.

Keyword

Poisoning; Burn; Free tissue flap; Scalp; Transplant

MeSH Terms

Adult
Burns*
Carbon Monoxide
Female
Free Tissue Flaps*
Humans
Leg*
Poisoning
Regeneration
Scalp*
Shoes
Skin*
Superficial Back Muscles*
Tissue Donors
Transplants*
Wounds and Injuries
Carbon Monoxide
Full Text Links
  • AHM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr