Rinkoff Sirke, Vijayan Roshan, Nugent Nora, Dheansa Baljit
Plastic Surgery, Royal Free Hospital, London, GBR.
Plastic Surgery, Chelsea and Westminster, London, GBR.
Cureus. 2020 Jan 5;12(1):e6569. doi: 10.7759/cureus.6569.
The occurrence of a burn injury in the same region as a previous burn is unusual outside the context of deliberate self-harm. Accidental burn injuries sustained to insensate flap reconstructions have previously been well reported in autologous breast reconstruction. Reports of such injuries in distant flap reconstructions of the hand and forearm are however unusual. This case report describes a 40-year-old man who required a pedicled groin flap to reconstruct a burn injury on the ulnar border of his hand. Three years later, he suffered a burn to the same area whilst using an oven. This case highlights the importance of counselling patients with insensate reconstructions regarding increased care and vigilance against inadvertent injury.
在非故意自残的情况下，同一部位再次发生烧伤并不常见。自体乳房重建术中，对失去感觉的皮瓣重建部位造成的意外烧伤此前已有充分报道。然而，手部和前臂远位皮瓣重建中出现此类损伤的报道并不常见。本病例报告描述了一名40岁男性，他需要带蒂腹股沟皮瓣来修复手部尺侧缘的烧伤。三年后，他在使用烤箱时同一部位再次被烧伤。该病例强调了对接受失去感觉的重建手术的患者进行咨询的重要性，告知他们要更加小心并提高警惕以防意外受伤。
