Early reconstruction of the ilioinguinal lobed flap in the treatment of facial and neck sulfuric acid burn: A case report

Q4 Medicine

Trauma Case Reports Pub Date : 2025-07-10 DOI:10.1016/j.tcr.2025.101215

Jun-Hui Xu, Wei Zhang

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Abstract

Objective

To investigate the therapeutic effect of an ilioinguinal lobed flap in the early repair of facial and neck injuries caused by sulfuric acid burn.

Methods

A retrospective analysis was carried out on the case of a 29-year-old female patient with sulfuric acid burns. Initially, a left ilioinguinal lobed flap measuring 25 × 8 cm² was selected to reconstruct the neck wound. Subsequently, a right ilioinguinal lobed flap was chosen to repair the facial wound. The flap consisted of three lobes, the longest diameter of which measured 29 cm and the shortest was 3.5 cm. During the surgery, the skin flap was dissected in the superficial fascia layer using ultrasound guidance, and the blood flow and anastomosis quality of the flap was ensured through vascular pressurization and fluorescence imaging.

Results

The facial and neck flap transplantation procedure was successfully completed, with complete postoperative flap survival. Both the left and right ilioinguinal donor sites were closed in a single-stage. Wound healing was satisfactory with minimal and concealed scarring. Postoperative facial and neck contour was satisfactory.

Conclusion

Early-stage repair of sulfuric acid burn wounds using free flaps is effective. Based on the anatomical characteristics of perforating branches in the ilioinguinal region, a superficial fascial flap was harvested with lobulation of the secondary perforating branch, enabling multi-vessel supercharged anastomosis with intraoperative fluorescence imaging to facilitate early and successful reconstruction of acid burn wounds.

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髂腹股沟浅叶皮瓣早期重建治疗面部及颈部硫酸烧伤1例

目的探讨髂腹股沟浅叶皮瓣早期修复面部及颈部硫酸烧伤损伤的疗效。方法对1例29岁女性硫酸烧伤患者进行回顾性分析。首先，选择25 × 8 cm2的左侧髂腹股沟叶状皮瓣重建颈部伤口。随后，选择右髂腹股沟叶瓣修复面部伤口。皮瓣由三个裂片组成，最长直径为29 cm，最短直径为3.5 cm。术中在超声引导下在浅筋膜层剥离皮瓣，通过血管加压及荧光成像确保皮瓣血流及吻合质量。结果成功完成面部及颈部皮瓣移植手术，术后皮瓣存活完整。左、右髂腹股沟供体部位一次性关闭。创面愈合良好，瘢痕微小，隐蔽性好。术后面部及颈部轮廓满意。结论游离皮瓣早期修复硫酸烧伤创面是有效的。根据髂腹股沟区穿支的解剖特点，取浅筋膜瓣，分叶化二级穿支，术中荧光成像进行多血管增压吻合，促进酸烧伤创面早期成功重建。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.