title: [Skin replacement after electric burns].
abstract: Skin reconstruction following electrical injuries is characterized by the difficulty of early diagnosis. There are two forms of tissue damage: (1) thermal trauma, (2) damage of cells due to high field strengths. For the diagnosis of macroskopically undetectable damage we use scintigraphy with technetium pyrophosphate and quantitative histological examination of the necrosis. After efficient debridement split thickness skin graft is only feasible in a few cases. Sometimes local flaps from areas without any tissue damage can be employed but mostly microvascular free flaps are used to cover the defect.
authors.affiliation: Abt. für Plastische Chirurgie, Krankenhaus am Urban, Berlin, Bundesrepublik Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Büttemeyer
authors.forename: J C
authors.initials: JC
authors.lastname: Bruck
authors.forename: K
authors.initials: K
authors.lastname: Plogmeier
mesh_terms: D002058:Burns, Electric / Q000473:pathology* / Q000601:surgery*; D003646:Debridement; D006801:Humans; D012867:Skin / Q000473:pathology; D016038:Skin Transplantation / Q000379:methods* / Q000473:pathology*; D014945:Wound Healing / Q000502:physiology
vernacular_title: Hautersatz nach Elektroverbrennung.