title: Fourth-degree burn of the brain from friction burn of scalp: an unusual injury from a golf cart.
abstract: Intracranial injury has been reported secondary to not only blunt and penetrating trauma but also thermal and high-voltage electrical injury. Reconstruction can be challenging, especially in the face of necrosis of large areas of the cranium. The authors present a novel case of fourth-degree thermal burn to the head caused by a rotating tire. Initial wound debridement exposed dura, prompting a dural patch and Integra® for temporary coverage. Definitive coverage was accomplished with a latissimus dorsi free flap. The injury was complicated by associated neurologic defects and seizure activity. However, management was effective, and at 1 year, the patient is alive and well.
authors: Department of Surgery, University of Cincinnati College of Medicine, University Hospital Burn Center, Cincinnati, Ohio, USA.
authors: John Kevin
authors: JK
authors: Bailey
authors: Charles
authors: C
authors: Park
authors: Kevin P
authors: KP
authors: Yakuboff
mesh_terms: D000328:Adult; D002058:Burns, Electric / Q000601:surgery*; D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D004388:Dura Mater / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D020300:Intracranial Hemorrhages / Q000601:surgery; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D012535:Scalp / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013177:Sports
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen