Benson Ryan, Rego Erica, Benneh Albert, Lee Edward S
Rutgers New Jersey Medical School, Department of Surgery, Newark, New Jersey.
Eplasty. 2024 Sep 4;24:e48. eCollection 2024.
This case report describes the surgical management of a severe mentosternal contracture in a 49-year-old woman in Ghana, West Africa, secondary to an acid burn injury. With limited resources, the treatment involved scar excision and full-thickness skin grafting in a single operation performed solely under local anesthetic infiltration, with no use of oral, inhaled, or parenteral anesthetic or sedating agents. As we were unable to find any documented cases performed under only local anesthesia, this case highlights a simplified reconstructive and anesthetic approach to managing complex, disabling burn contractures in low-income countries, particularly where advanced reconstructive options and monitored anesthesia care are not readily available.
本病例报告描述了西非加纳一名49岁女性因酸性烧伤继发严重胸骨挛缩的手术治疗情况。由于资源有限，治疗采用在局部麻醉浸润下仅进行一次手术，切除瘢痕并进行全厚皮片移植，未使用口服、吸入或胃肠外麻醉或镇静剂。由于我们未能找到仅在局部麻醉下进行手术的任何文献记载病例，该病例突出了一种在低收入国家处理复杂、致残性烧伤挛缩的简化重建和麻醉方法，特别是在无法轻易获得先进重建选择和麻醉监测护理的情况下。
