Successful repair of an encephalocele wound in a child following a car accident: A case report.

Exp Ther Med

Department of Plastic and Aesthetic Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250021, P.R. China.

Published: February 2024

AI Article Synopsis

  • Repairing serious head injuries in kids is tough because they are more delicate than adults and have fewer treatment options.
  • A 2-year-old boy had a skull fracture after a car accident and needed special surgery to fix it using an artificial layer and muscle flap.
  • A teamwork approach is essential to make sure the child gets the best chance to recover safely and successfully.

Article Abstract

Repair of large cranial complex traumas in children is difficult. Notably, children have poorer underlying conditions than adults and are frailer under trauma. In addition, children have more limited treatment options, leading to the need to consider long-term functional and aesthetic outcomes. The present report describes the case of a 2-year-old child weighing 9 kg who experienced a skull fracture with encephalocele after a car accident and had a poor underlying condition. An artificial dura mater combined with bone cement was used to repair the skull, and then a free latissimus dorsi muscle flap (LDMF) combined with a split-thickness skin graft (STSG) was used to cover the wound, allowing the child to overcome the life-threatening situation as soon as possible with a satisfactory outcome. LDMF combined with STSG is an ideal option in repairing head wounds in children. Preoperative imaging and postoperative care also serve an important role in the success of the operation. When the situation is critical, multidisciplinary team treatment can guarantee the safety of the child.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10790164PMC
http://dx.doi.org/10.3892/etm.2023.12339DOI Listing

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