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2013, Number 1

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Cir Plast 2013; 23 (1)

Scalp and cranium electric burn treatment

Cuenca-Pardo J, Álvarez-Díaz CJ

Language: Spanish
References: 31
Page: 32-42
PDF size: 576.62 Kb.


ABSTRACT

In the Burn Unit of «Dr. Victorio de la Fuente Narvaez» Traumatology Hospital of the Mexican Institute of Social Security, 24 patients with electrical burns in the skull and scalp were treated. Four groups were formed: Group I with six patients with denuded bone and a defect of less than 30%, they were treated with local flaps and skin grafts. Group II with nine patients with larger defects, 30% or smaller but with bone necrosis, were treated with resection of the external table and application of dermal matrix and skin grafts. Secondary alopecia was treated after six months with expanded local flaps. Group III with three patients with bone necrosis and exposure of meninges with less than 30% defect, were treated with titanium mesh and bone graft; the defect was covered with local flaps. Group IV with six patients with bone necrosis and exposure of meninges and a larger defect than 30%, were treated with resection of the necrotic bone. Exposed meninges were covered with matrix and skin grafts, bone reconstruction was performed after six months with titanium mesh and bone graft and the defect was covered with expanded local flaps. In Groups I to III there were no complications. In Group IV there were four patients with complications and two deaths. The severity of electrical burns to the head is related to the extent of burns and the damage of the meninges, the early excision of devitalized tissue and prompt coverage that prevents desiccation and complications.


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