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Summary
Electrical injury can cause significant scalp and skull defects. Omental transposition with vascular anastomosis and skin grafts offers a successful reconstruction method, leading to a good recovery and improved quality of life.
Area of Science:
- Plastic Surgery
- Trauma Reconstruction
- Microsurgery
Background:
- Electrical injuries can result in extensive tissue loss, including scalp and skull defects, posing significant reconstructive challenges.
- Delayed reconstruction is sometimes necessary due to complications from initial treatments or the severity of the injury.
Observation:
- A 21-year-old female patient sustained an electrical injury leading to loss of scalp and skull.
- The patient developed painful ulcerations in a prior skin graft 15 months post-initial injury.
Findings:
- Reconstruction was performed using omental transposition with vascular anastomosis and skin grafts.
- The patient experienced an uneventful recovery following the delayed reconstructive surgery.
Implications:
- This case highlights the efficacy of omental flap reconstruction for large scalp and skull defects following electrical injury.
- Successful reconstruction can restore function and cosmesis, significantly improving patient quality of life and enabling social reintegration.