Abstract
An elderly patient was admitted for day-case surgery to excise a lipoma from the back of her neck under local anaesthesia. The patient was placed prone; the operation site was cleaned with an alcohol-based skin preparation and draped. The patient was given mild sedation and oxygen through nasal cannulae. It appears that the disinfectant solution had pooled in the patient's hair because when diathermy was applied to cauterise a small wound-edge bleeding point, the patient's head was suddenly engulfed in flames. The fire was rapidly extinguished but left small burns to one ear and loss of a large portion of hair.
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