Bailey John Kevin, Park Charles, Yakuboff Kevin P
Department of Surgery, University of Cincinnati College of Medicine, University Hospital Burn Center, Cincinnati, Ohio, USA.
J Burn Care Res. 2011 Jul-Aug;32(4):e146-8. doi: 10.1097/BCR.0b013e3182223f3e.
Intracranial injury has been reported secondary to not only blunt and penetrating trauma but also thermal and high-voltage electrical injury. Reconstruction can be challenging, especially in the face of necrosis of large areas of the cranium. The authors present a novel case of fourth-degree thermal burn to the head caused by a rotating tire. Initial wound debridement exposed dura, prompting a dural patch and Integra® for temporary coverage. Definitive coverage was accomplished with a latissimus dorsi free flap. The injury was complicated by associated neurologic defects and seizure activity. However, management was effective, and at 1 year, the patient is alive and well.
据报道，颅内损伤不仅继发于钝器伤和穿透伤，还继发于热损伤和高压电损伤。颅骨重建可能具有挑战性，尤其是在大面积颅骨坏死的情况下。作者介绍了一例因旋转轮胎导致头部四度热烧伤的新病例。最初的伤口清创暴露了硬脑膜，促使使用硬脑膜补片和Integra®进行临时覆盖。最终通过背阔肌游离皮瓣完成覆盖。该损伤伴有相关神经功能缺损和癫痫发作，使情况变得复杂。然而，治疗是有效的，1年后患者存活且状况良好。
