Coverage of Scapular Exposure in High-voltage Electric Burns with Trapezius Myocutaneous Flap-A Report of Two Cases

Abstract

The pathway of current in electrical burn patient is unpredictable, and high-voltage electrical burns usually cause progressive deep soft-tissue damage. After forced fluid resuscitation to stabilize the vital signs, a surgical plan should be initiated as soon as possible. We presented two individuals sustained high-voltage electrical burns and the consequent complication of scapular bone exposure of about 8 cm in diameter. We designed an early surgical procedure of a myocutaneous trapezius flap transferring to the lesion site after initial biological dressing with porcine skin. Satisfactory functional results were obtained, with no post-operative complications and a normal range of arm abduction motion at follow-up at more than three years.