Scalp reconstruction using triple rotation flap and reverse posterior tibial flap for lower limb reconstruction in electric burn patient: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20242958Keywords:
Triple rotation flap, Reverse posterior tibial flap, Electric burns, ScalpAbstract
A 16-year-old male presented with a high-voltage electrical burn affecting the scalp, resulting in a 25 cm x 10 cm lesion, and third-degree burns on the right fifth toe and the base of the left first metatarsal. Initial management included a medial plantar flap for the pelvic limb injury, but perfusion failure led to the use of a reverse posterior tibial flap for coverage, along with a split-thickness skin graft. For the scalp injury, a triple rotation flap technique achieved adequate coverage. Four-day postoperative follow-up showed successful perfusion of the reverse tibial flap without complications, highlighting the challenges and need for adaptive surgical strategies in managing high-voltage electrical burns.
References
Manuel CHC, Lorente Gil Sergio Ramón, Pérez Suárez Francisco Andrés, Pérez Núñez Vivian. Reconstruction of the scalp after a high-voltage electrical burn. Rev Cubana Cir. 2018;57(3):600.
Pereira N, Léniz P, Enríquez E, Mangelsdorff G, Piñeros B, Calderón W. Experience in the treatment of scalp burns. Cir. plást iberolatinoam. 2013;39(1):61-5.
Michaelidis IG, Stefanopoulos PK, Papadimitriou GA. The triple rotation scalp flap revisited: a case of reconstruction of cicatricial pressure alopecia. Int J Oral Maxillofac Surg. 2006;35(12):1153-5.
Iribarren O, Ríos P, Saavedra F. Immediate reconstruction of the scalp; Ibero-Latin American Plastic Surgery Journal. 2012;32:1:55-6.
Morais Oliveira T, Brito da Costa C, Silva Boulhosa FJ, Nicolau da Costa LR, Cordeiro de Macêdo R, Esteves da Silva PK, et al. Fisioterapia em grande queimado: relato de caso em centro de tratamento de queimados na Amazônia brasileira. Rev Bras Queimaduras. 2015;14(4):285-9.
Pereira N, Léniz P, Enríquez E, Mangelsdorff G, Piñeros B, Calderón W. Experience in the treatment of scalp burns. Cir Plást Iberolatinoam. 2013;39(1):61-5.
Tarragona FR, Ferreiro GI, Gabilondo ZFJ. High-voltage electrical injury to the head and limbs in a 15-year-old patient. Cir Plást Iberolatinoam. 2014;41(3):321-8.
Delgado Ruiz T, Simón Sanz E, Villaverde Doménech E, Forés Zaragoza A, Pérez del Caz MD. The dorsal ulnar fasciocutaneous flap in electrical burns of the hand: a constant, fast and safe flap. Cir Plást Iberolatinoam. 2016;42(1):65-72.
Almulhim AM, Madadin M. Scalp Laceration. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. Available at: https://www.ncbi.nlm.nih.gov/books. Accessed on 15th May 2024.
Alhajj M, Goyal A. Physiology, Granulation Tissue. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books.
Shash H, Marzouq S, Alghamdi A, Alrayes M, Alkhaldi SK, Shash H, Abu Quren AM. The 1-2-3 cm Advancement Flap Rule in Scalp Reconstruction. Cureus. 2023;15(2):35301.
Ramsey ML, Ellison CA, Hohman MH, et al. Interpolated Flaps. In: StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov
