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Peroneal Artery Perforator Free Flap on the Palm and Removal of Back Foreign Body in High Voltage Electrical Burn Patient: A Case Report
Journal of Korean Burn Society 2019;22(2):58-65
Published online December 1, 2019
© 2019 Journal of Korean Burn Society.

Sung Won Jung, M.D., Ph.D. and Seung Je Lee, M.D.

Department of Plastic and Reconstructive Surgery, Hanil General Hospital, Seoul Korea
Correspondence to: Sung Won Jung, Department of Plastic and Reconstructive Surgery, Hanil General Hospital, 308 Uicheon-ro, Dobong-gu, Seoul 01450, Korea
Tel: 82-2-901-3109, Fax: 82-2-901-3114
Received October 28, 2019; Revised November 15, 2019; Accepted November 21, 2019.
Wound caused by high-tension electrical burns is difficult to manage because the wound is deep and complex. The wound is progressively necrotic due to microvascular injury resulting in deep tissue exposure. So, coverage of the wound at the entry point and the exit point is cumbersome, often requiring flap coverage. We experienced a case of one patient for peroneal artery perforator free flap coverage on the palm of the right hand of the entry point of electrical burn. The left foot wound of electrical exit point was covered by full thickness skin graft. Also a small wound was on the left side of the lower back was the exit point of electrical burn. The lower back wound was healed and recurred repeatedly after burn. On postburn day 6 month, through the radiologic exam, metal shadow was identified in the left gluteus muscle forming chronic sinus. We explored the wound of sinus and a foreign body was identified in the sac as multi braid wires thin as hair. According to the patient's past history, we suspected that the back wound was caused by electrical burn injury through the wires.
Keywords : High voltage electrical burn, Peroneal artery perforator free flap, Metal foreign body

December 2019, 22 (2)
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