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Published on: June 21, 2019
[Use of double flaps in high-voltage electrical injury of scalp and calvaria: case report]
Cengiz Açikel1, Hüseyin Karagöz, Yavuz Narin
1Department of Plastic Surgery, GATA Haydarpaşa Training Hospital, Istanbul, Turkey.
Abstract:
A 15-year-old boy sustained a high-voltage electrical injury with full-thickness scalp and calvarial bone necrosis in the parieto-occipital region. While necrotic soft tissues were debrided on the fifth day of injury, the devitalized calvaria was preserved. Bilayered coverage of the necrotic bone was achieved by transposition of 'bipedicled pericranial flap' and 'bipedicled scalp flap'. No complication was observed in the postoperative period. A bone resorption area, smaller than the original necrotic bone area, was observed in the long-term follow-ups.