Saçlýderi ve kalvaryumun yüksek voltajlý elektrik yaralanmasýnda çift flep kullanýmý: Olgu sunumu

Yüksek voltajlý elekrik yaralanmasýna baðlý paryeto-oksipital bölgede tam kalýnlýkta saçlý deri ve kalvaryal kemik nekrozu geliþen 15 yaþýndaki erkek hastada yaralanma sonrasý 5. günde nekrotik yumuþak dokular debride edildi, cansýz kalvaryal kemik yerinde býrakýldý ve üzeri bipediküllü perikraniyal flep ve bipediküllü skalp flebi ile iki tabakalý olarak kapatýldý. Ameliyat sonrasýnda herhangi bir komplikasyon izlenmez iken geç takiplerinde cansýz kemik bölgesinde orijinal boyuttan daha küçük bir rezorpsiyon alaný gözlendi.

Use of double flaps in high-voltage electrical injury of scalp and calvarium: Case report

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.