Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flap
Composite skull defects in patients with severe head injuries are very challenging to manage. The dilemma when deciding whether to perform a definitive reconstruction is how long to wait for physiological recovery before an intervention complicates the situation. The inability of such patients to to...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2020-03-01
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| Series: | Journal of Trauma and Injury |
| Subjects: | |
| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2019-037.pdf |
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| author | Charles Chidiebele Maduba Ugochukwu Uzodimma Nnadozie |
| author_facet | Charles Chidiebele Maduba Ugochukwu Uzodimma Nnadozie |
| author_sort | Charles Chidiebele Maduba |
| collection | DOAJ |
| description | Composite skull defects in patients with severe head injuries are very challenging to manage. The dilemma when deciding whether to perform a definitive reconstruction is how long to wait for physiological recovery before an intervention complicates the situation. The inability of such patients to tolerate prolonged anesthetic exposure is a driving factor for performing the minimal intervention necessary to facilitate recovery. Herein, we present a case involving the successful immediate reconstructive treatment of a severely head-injured adolescent with a composite scalp defect secondary to trauma. A 14-year-old boy sustained a severe head injury from a motor vehicle accident with a composite scalp defect in the right fronto-parietal region. The frontal lobe was exposed, and the right eye was crushed and devitalized. The patient was deeply unconscious for 3 days, without any significant improvements before reconstructive surgery was proposed due to fear of possible meningitis resulting from the exposure of brain structures. We successfully managed the patient with a fronto-parieto-occipital flap, after which the patient promptly recovered consciousness. |
| format | Article |
| id | doaj-art-3b66be7922394de7b0cac75d71ad90bd |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-3b66be7922394de7b0cac75d71ad90bd2025-02-03T11:12:23ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-03-01331485210.20408/jti.2019.0371008Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flapCharles Chidiebele Maduba0Ugochukwu Uzodimma Nnadozie1 Division of Plastic Surgery, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria Division of Plastic Surgery, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, NigeriaComposite skull defects in patients with severe head injuries are very challenging to manage. The dilemma when deciding whether to perform a definitive reconstruction is how long to wait for physiological recovery before an intervention complicates the situation. The inability of such patients to tolerate prolonged anesthetic exposure is a driving factor for performing the minimal intervention necessary to facilitate recovery. Herein, we present a case involving the successful immediate reconstructive treatment of a severely head-injured adolescent with a composite scalp defect secondary to trauma. A 14-year-old boy sustained a severe head injury from a motor vehicle accident with a composite scalp defect in the right fronto-parietal region. The frontal lobe was exposed, and the right eye was crushed and devitalized. The patient was deeply unconscious for 3 days, without any significant improvements before reconstructive surgery was proposed due to fear of possible meningitis resulting from the exposure of brain structures. We successfully managed the patient with a fronto-parieto-occipital flap, after which the patient promptly recovered consciousness.http://www.jtraumainj.org/upload/pdf/jti-2019-037.pdfcomposite scalp defecthead injuryflapunconsciousness |
| spellingShingle | Charles Chidiebele Maduba Ugochukwu Uzodimma Nnadozie Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flap Journal of Trauma and Injury composite scalp defect head injury flap unconsciousness |
| title | Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flap |
| title_full | Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flap |
| title_fullStr | Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flap |
| title_full_unstemmed | Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flap |
| title_short | Successful management of a Comatose Patient with Traumatic Brain Exposure with a fronto-Parieto-occipital flap |
| title_sort | successful management of a comatose patient with traumatic brain exposure with a fronto parieto occipital flap |
| topic | composite scalp defect head injury flap unconsciousness |
| url | http://www.jtraumainj.org/upload/pdf/jti-2019-037.pdf |
| work_keys_str_mv | AT charleschidiebelemaduba successfulmanagementofacomatosepatientwithtraumaticbrainexposurewithafrontoparietooccipitalflap AT ugochukwuuzodimmannadozie successfulmanagementofacomatosepatientwithtraumaticbrainexposurewithafrontoparietooccipitalflap |