대한화상학회지 (Journal of the Korean Burn Society)

대한화상학회 (Korean Burn Society)
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두피의 고압전기화상 환자에서의 두개골 만성골수염: 증례보고

Chronic Osteomyelitis of Cranial Bones in a Patient with High-Voltage Electrical Burn on the Scalp: A Case Report

  • Jung, Sung Won (Department of Plastic and Reconstructive Surgery, Hanil General Hospital) ;
  • Choi, Joo Heon (Department of Plastic and Reconstructive Surgery, Hanil General Hospital) ;
  • Yoo, Kyung-Tak (Department of General Surgery, Hanil General Hospital) ;
  • Lim, Changsoo (Department of Neurosurgery, Hanil General Hospital)
  • 투고 : 2021.08.12
  • 심사 : 2021.10.25
  • 발행 : 2021.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

High-voltage electrical burn injuries on the scalp often result in scalp and cranial bone necrosis. Repetitive debridements and rich-vascularized flap coverage of the cranium are required. However, despite successful flap coverage, chronic osteomyelitis of cranial bones may occur. Treatment of chronic osteomyelitis of cranial bones is surgical debridement of the necrotic bone with re-coverage by a well-vascularized flap. The latissimus dorsi musculocutaneous flap is suitable not only for coverage of the cranium after the burn injury, but also for treatment of chronic osteomyelitis of the skull.

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참고문헌

  1. Yudoyono F, Sutiono AB, Arifin MZ. High-voltage electrically head injury presenting underlying calvarial osteomyelitis: Single Indonesian tertiary hospital experience. J Surg Surgical Res 2016;2:10-3. https://doi.org/10.17352/2455-2968.000022
  2. Jeyakumar P, Hussain AT, Ahamed AR. Reconstruction of extensive post-electric burn scalp defects with exposed bones: A study of 12 cases. Ann Plast Surg 2018;81:39-44. https://doi.org/10.1097/SAP.0000000000001458
  3. Naik AA, Math M, Morab JV. Scalp reconstruction-post-electric burns. Medica 2019;8:34.
  4. Worthen EF. Regeneration of the skull following a deep electrical burn. Plast Reconstr Surg 1971;48:1-4. https://doi.org/10.1097/00006534-197107000-00001
  5. Grassner L, Bierschneider M, Strowitzki M, Grillhosl A. Different sequelae of electrical brain injury - MRI patterns. Burns 2017;43:e7-e10.
  6. Rockwell WB, Bodily KD. Fate of free muscle transfer covering chronically infected burned skull. J Burn Care Rehabil 2001;22:288-91. https://doi.org/10.1097/00004630-200107000-00008
  7. Luce EA, Hoopes JE. Electrical burn of the scalp and skull. Case report. Plast Reconstr Surg 1974;54:359-63. https://doi.org/10.1097/00006534-197409000-00023
  8. Gumus N, Coban YK, Reyhan M. Cranial bone sequestration 3 years after electrical burn. Burns 2006;32:780-2. https://doi.org/10.1016/j.burns.2006.02.017