Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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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

  • Jyotica Jagadish Chawaria (Department of Plastic and Reconstructive Surgery, Nizams Institute of Medical Sciences) ;
  • Parvati Ravula (Department of Plastic and Reconstructive Surgery, Nizams Institute of Medical Sciences) ;
  • Nazia Tabassum (Department of Plastic and Reconstructive Surgery, Nizams Institute of Medical Sciences) ;
  • Srikanth Rangachari (Department of Plastic and Reconstructive Surgery, Nizams Institute of Medical Sciences)
  • Received : 2023.08.11
  • Accepted : 2023.08.29
  • Published : 2023.12.31
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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.

Keywords

References

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