MULTIPLE BURR HOLE AS AN ALTERNATIVE TREATMENT FOR LARGE SCALP DEFECT
Explore our case study on the use of multiple burr holes in addressing large scalp defects post-electrical burns. Discover more about advanced reconstructive techniques in plastic surgery. 🔬
Scalp defects with exposed bones, especially from electrical burns, pose a serious challenge in reconstructive surgery. Traditional methods like local or free flaps often fail or are contraindicated, leading to prolonged morbidity. This paper presents a case of a patient with a large scalp defect after an electrical burn injury, treated with multiple burr holes as an alternative approach.
The patient underwent surgical debridement by a plastic surgeon fourteen days post-burn, followed by the placement of multiple burr holes (15 mm apart) in non-viable bone areas by a neurosurgeon. Routine debridement was performed every three days in the outpatient clinic to maintain wound viability. Treatment spanned 90 days, during which granulation tissue began developing between the burr holes.
This approach facilitated the formation of a suitable vascular bed for subsequent skin graft applications. By avoiding postoperative complications such as infection or osteomyelitis, this technique proved effective in managing extensive skull bone exposure and periosteal trauma.
Explore a detailed case study where surgical debridement and burr hole placement led to granulation tissue formation, paving the way for successful closure strategies. Gain insights into the safety and effectiveness of this technique in avoiding complications like infections and osteomyelitis.
Multiple cranial burr holes offer a viable alternative for treating large scalp defects, ensuring swift and safe wound management while promoting granulation tissue formation. This method demonstrates potential for improving outcomes in cases of severe skull injuries and warrants further exploration in clinical practice.
Our study underscores the potential of multiple cranial burr holes as a rapid and reliable option for managing challenging head injuries. Stay informed about advancements in reconstructive surgery and patient-centered care. Join us in exploring cutting-edge research and advancements in plastic surgery and burn care. Stay tuned for updates on innovative treatments and improved patient outcomes.
Read more: https://e-journal.unair.ac.id/JRE/article/view/24353
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