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KMID : 1144620230360040404
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Journal of Trauma and Injury
2023 Volume.36 No. 4 p.404 ~ p.410
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Expediting venous drainage in large anterolateral thigh flaps for scalp electrical burns in India: two case reports on the use of primary vein grafts for second vein anastomosis
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Jyotica Jagadish Chawaria
Parvati Ravula
Nazia Tabassum
Srikanth Rangachari
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Abstract
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Large scalp defects resulting from high-voltage electrical burns require free flaps, preferably skin, to permit optimal coverage and enable future or simultaneous cranial vault reconstruction. The anterolateral thigh permits the harvest of a large area of skin supplied by a reliable perforator. The superficial temporal vessels offer the proximate choice of recipient vessels to enable adequate reach and coverage. The lack of a second vein at this site implies the inability to perform a second venous anastomosis; however, this obstacle can be overcome by using an interposition vein graft, to the neck veins primarily. This assures adequate venous drainage and complete flap survival.
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KEYWORD
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Scalp, Electrical burn, Anterolateral thigh flap, Interposition vein graft, Case reports
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