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RECONSTRUCTION OF DEEP HEAD BURN WITH A FREE FLAP - A CASE REPORT
Acta Chirurgiae Plasticae
|May 9, 2020
Summary
Third degree head and neck burns necessitate specialized care. Free flap transfer using serratus anterior muscle effectively reconstructed a deep forehead defect, ensuring good aesthetic and functional results.
Area of Science:
- Plastic Surgery
- Burn Trauma Management
- Reconstructive Surgery
Background:
- Third-degree burn trauma to the head and neck demands an interdisciplinary strategy.
- Post-emergency care, tissue reconstruction is paramount, influenced by patient stability and local tissue condition.
- Deep head defects pose significant risks of infection and potentially fatal complications.
Observation:
- A case report details a 62-year-old woman with severe third-degree burn trauma to the head and neck.
- The trauma resulted in a deep forehead defect extending to the hairline, exposing bone without signs of healing.
- Fragile, scarred surrounding tissue precluded standard reconstruction methods.
Findings:
- A free flap transfer utilizing serratus anterior muscle was employed for defect closure.
- The surgical intervention resulted in complete flap healing.
- The reconstruction achieved favorable aesthetic and functional outcomes.
Implications:
- Free flap transfer is a viable and effective option for complex head and neck burn defects, especially with compromised surrounding tissues.
- This reconstructive technique offers good aesthetic and functional recovery in challenging burn cases.
- Highlights the importance of advanced reconstructive options in managing severe burn trauma.
