J Trauma Inj.  2023 Dec;36(4):404-410. 10.20408/jti.2023.0054.

Expediting venous drainage in large anterolateral thigh flaps for scalp electrical burns in India: two case reports on the use of primary vein grafts for second vein anastomosis

• Chawaria JJ
• Ravula P
• Tabassum N
• Rangachari S

• KMID: 2550871
• DOI: http://doi.org/10.20408/jti.2023.0054

Abstract

Large scalp defects resulting from high-voltage electrical burns require free flaps, preferably skin, to permit optimal coverage and enable future or simultaneous cranial vault reconstruction. The anterolateral thigh permits the harvest of a large area of skin supplied by a reliable perforator. The superficial temporal vessels offer the proximate choice of recipient vessels to enable adequate reach and coverage. The lack of a second vein at this site implies the inability to perform a second venous anastomosis; however, this obstacle can be overcome by using an interposition vein graft, to the neck veins primarily. This assures adequate venous drainage and complete flap survival.

Keyword

Scalp; Electrical burn; Anterolateral thigh flap; Superficial temporal vessels; Interposition vein graft; Case reports