Repair of high-voltage electric burn in jaw and neck region with insular pectoralis major myocutaneous flap
Author(s): HU Yong-cai, XU Xi-sheng, OU Cai-sheng, CHEN Kai, ZHOU Yong-sheng, LI Bai-tong, ZHOU Hai-yang
Pages: 22-24
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Burns; electric; Jaw; Neck; Surgical flaps; Pectoralis muscles;
Abstract: Objective To evaluate the effect of insular pectoralis major myocutaneous flap on repair of jaw and neck tissue defect as a result of high-voltage electric burn. Methods Eighteen patients with large area tissue defect in jaw and neck caused by high-voltage electric burn hospitalized from August 2001 to December 2007 were repaired with insular pectoraiis major myocutaneous flap. The flaps(from 12 cm×10 cm to 16 cm × 13 cm) was transplanted in 8 patients after early wound debridement, and in I0 patients on infected wounds. Results All flaps survived wells except in 4 patients necrotic area(length 2-5 cm, width 1-2 cm) appeared in the distal wound edge, localized dehiscence of wound edge in 2 cases, which were healed after dressing change or secondary suturing. Patients were followed up from 6 months to 3 years, and the appearance and function were satisfactory. Conclusions Pectoralis major muscle island myocutaneous flap has the advantage of large tissue mass, with thin and flat muscle belly, and rich blood supply, which is suitable for repair of large deep tissue defect in jaw and neck.
Pages: 22-24
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Burns; electric; Jaw; Neck; Surgical flaps; Pectoralis muscles;
Abstract: Objective To evaluate the effect of insular pectoralis major myocutaneous flap on repair of jaw and neck tissue defect as a result of high-voltage electric burn. Methods Eighteen patients with large area tissue defect in jaw and neck caused by high-voltage electric burn hospitalized from August 2001 to December 2007 were repaired with insular pectoraiis major myocutaneous flap. The flaps(from 12 cm×10 cm to 16 cm × 13 cm) was transplanted in 8 patients after early wound debridement, and in I0 patients on infected wounds. Results All flaps survived wells except in 4 patients necrotic area(length 2-5 cm, width 1-2 cm) appeared in the distal wound edge, localized dehiscence of wound edge in 2 cases, which were healed after dressing change or secondary suturing. Patients were followed up from 6 months to 3 years, and the appearance and function were satisfactory. Conclusions Pectoralis major muscle island myocutaneous flap has the advantage of large tissue mass, with thin and flat muscle belly, and rich blood supply, which is suitable for repair of large deep tissue defect in jaw and neck.
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