Scalp Burn Involving the Calvaria and Difficulty in Treatment: A Case Report

DOI
  • Kumakawa Yasuaki
    Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Healthcare Organization Chukyo Hospital Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital
  • Nakajima Shinji
    Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Healthcare Organization Chukyo Hospital
  • Kondo Yutaka
    Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital
  • Yoneda Kazuhiro
    Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Healthcare Organization Chukyo Hospital
  • Seki Kentaro
    Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital
  • Kuroki Yuichi
    Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Healthcare Organization Chukyo Hospital
  • Osuka Akinori
    Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Healthcare Organization Chukyo Hospital
  • Okamoto Ken
    Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital
  • Tanaka Hiroshi
    Department of Emergency and Critical Care Medicine, Juntendo University Urayasu Hospital
  • Ueyama Masashi
    Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Healthcare Organization Chukyo Hospital

Bibliographic Information

Other Title
  • 治療に難渋した頭部Ⅳ度熱傷の1例

Description

 A 79-year-old-man sustained flame burns covering 24% of his body. He had third-degree burns mainly on his scalp, face, and neck. Debridement of the neck, back, and upper extremities was performed. On day 5, his condition deteriorated, and he developed septic shock due to infection of his scalp and hand regions. Debridement of these regions was performed, resulting in a 20×20 cm scalp defect with exposed bone. The burn was diagnosed as a scalp burn involving the calvaria. A few weeks later, the cranial region had no granulation tissue and the patient developed septic shock due to infection of necrotic bone. On day 67, debridement of the necrotic bone was performed using a steel bur. The outer cortex was removed to expose viable bone and artificial dermis（Integra®）grafting was performed. After the operation, split-thickness skin grafting was performed twice. The postoperative course was uneventful. On day 224, the patient was transported to another hospital. It is helpful to quickly remove the necrotic bone, including the outer cortex, in cases of scalp burns involving the calvaria.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390008597681787008
  • NII Article ID
    130008116455
  • DOI
    10.34366/jburn.47.4_147
  • ISSN
    24351571
    0285113X
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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