[Treatment of multiple lacerated wounds of the face and upper limbs].
We describe a case of severe face and upper extremities injury obtained in accident. 30 cm x 12 cm left arm soft tissue defect covered with thoracodorsal myocutaneous flap after necrectomy. After 10 days a microvascular transplantation of scapular fasciocutaneous flap was performed thus covering a 15.8 cm x 10.5 cm soft tissue defect in face. Eighteen days after trauma autodermoplastica was done in a 35 cm x 11 cm would of the right arm. The patient was discharged after 6 weeks of treatment. October 19, 2000 reconstruction of left ulnar nerve (n. ulnaris) was performed using sural nerve (n. suralis) grafts. Debulking of scapular flap in face was done simultaneously. Eighth months after trauma the patient returned to work. A good esthetic effect was observed.
Viksraitis
Saulius
S
Kauno medicinos universiteto kliniku Plastines chirurgijos ir nudegimu skyrius, Eiveniu 2, 3007 Kaunas.
Astrauskas
Tautrimas
T
Klebanovas
Jurijus
J
Pūras
Gediminas
G
D000063:Accidents, Traffic; D000328:Adult; D001134:Arm Injuries / Q000601:surgery*; D004954:Esthetics; D005151:Facial Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D016038:Skin Transplantation; D013524:Surgical Flaps; D013997:Time Factors; D014459:Ulnar Nerve / Q000293:injuries / Q000601:surgery