Multiple Burr Hole as an Alternative Treatment for Large Scalp Defect
Background: Scalp defect with exposed bones is a serious injury that is often occurred after electrical burn injury. The coverage treatment may vary from local flap to free flap. Coverage becomes a major problem when flaps fails or is contraindicated and resulting in further morbidity. In this pa...
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| Main Authors: | , |
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| Format: | Article PeerReviewed |
| Language: | Indonesian English English |
| Published: |
Fakultas Kedokteran Universitas Airlangga
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| Online Access: | https://repository.unair.ac.id/119402/1/30.%20%28%20Multi%20Burr%29.pdf https://repository.unair.ac.id/119402/3/Turnitin.pdf https://repository.unair.ac.id/119402/6/14%2C%20Artikel.pdf https://repository.unair.ac.id/119402/ https://e-journal.unair.ac.id/JRE/article/view/24353 https://doi.org/10.20473/jre.v4i1.24353 |
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| Institution: | Universitas Airlangga |
| Language: | Indonesian English English |
| Summary: | Background: Scalp defect with exposed bones is a serious injury that is
often occurred after electrical burn injury. The coverage treatment may vary
from local flap to free flap. Coverage becomes a major problem when flaps
fails or is contraindicated and resulting in further morbidity. In this paper
we report 1 patient with large scalp defect after electrical burn injury.
Methods : In this study, we report 1 patient with large scalp defect after
electrical burn, which treated in our department. Fourteen days after the
electrical burn injury, surgical debridement was done by the plastic surgeon,
and multiple burr holes were made by the neurosurgeon in the nonviable
bone. The distance between each burr holes was 15 mm. The defect was
keep moist with absorbent. The scalp defects were treated with soft tissue
debridement every 3 days in the policlinics to keep the wound presented
viable. To date, the wound already treated for 90 days.
Results : The granulation tissue appears in between the burr holes within
14 days. After the defect was covered with granulation tissues, a further
closure such as skin graft application was necessary. No postoperative
infection, osteomyelitis, or cranial bone sequestration was reported in this
case. Conclusions:
Multiple cranial burr holes can be chosen as an alternative treatment for
large scalp defect. These technique, allow the formation of a vascular bed
suitable for skin grafting. This technique is safe, swift and effective for cases
of extensive exposure for the skull bone expose of the periosteum following
trauma.
Keyword: Burr holes, electric burn, scalp |
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