AI Article Synopsis
- Nail bed injuries often occur alongside fingertip injuries, and it's crucial to reconstruct them during the acute phase to restore finger length and ensure proper nail growth.
- In the case of a young stewardess with a chemical burn to her fingertip, surgical debridement was performed on the third day, followed by a cross-finger flap for skin coverage and nail bed grafting.
- The surgical approach for chemical burn injuries is similar to traumatic injuries, with nail bed grafting being the preferred method, and flaps being useful for soft tissue loss.
Article Abstract
Nail bed injuries were commonly found concomitantly with fingertip injuries. Reconstruction of fingertip including the nail bed should be attempted at acute stage. Aim of the surgery was to restore as much finger length and achieve normal nail growth. In chemical burns, the initial presentation might not reflect the exact extent of injury. Appropriate acute management must be initiated while waiting for demarcation. We report a case of young stewardess who presented with fingertip chemical burn injury. Surgical debridement was done on third day post-injury. A cross-finger flap to cover skin defect and split-thickness nail bed grafting from the remnant of injured finger were done. Excellent functional and cosmetic outcome was achieved in 6 months. Surgical treatment in a chemical burn was similar to traumatic injury. Nail bed graft was the best option for nail bed reconstruction. In cases of soft tissue loss, advancement or pedicle flaps are beneficial.
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| http://dx.doi.org/10.1177/2309499019839278 | DOI Listing |
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