一例罕见的眶部——颌下联合电击伤

An uncommon case of electrical burn in orbital region combined with submandibular region

颌面部电击伤会对患者造成严重的功能障碍。我院1例涉及右侧眼眶部、颧面部及左侧颌下区的电击伤,患者右眼失明,在清创术中被摘除眼球。右侧眼眶部创面用左侧上臂内侧游离皮瓣修复,之后取左侧大腿内侧中厚皮片覆盖左侧上臂内侧皮瓣供区及左侧颌下区创面。1个月后随访,患者右侧眶部外形恢复良好,左侧颌下区创面亦无继续感染迹象。

Electrical burn in oral and maxillofacial region can produce serious disfunction to patients. We reported an unusual case of electrical injuries that involves the right orbital, zygomaticofacial and left submandibular regions. The patient lost his sight of the right eye, and the right eyeball was enucleated in the debridement. The medial upper arm free flaps were used to repair the defect of the right orbital region. After the flap was transplanted, the wound in the supply region and the left submandibular region was covered with skin graft in middle thickness. In his follow-up examination 1 month after surgery ,the defect was satisfactorily reconstructed in appearence in the right orbital region, and the evidences of wound infection were not observed in his left submandibular region.