Reconstruction of a massive defect of the neck after a scorpion sting: A case report
Introduction: Cutaneous traumas from scorpion sting envenomation are rare in European countries. Regarding Greece, Euscorpius sicanus' complex is the most widespread scorpion species. The venom of these small dark brown arthropods, which shelter in woods, usually provokes local cutaneous sympto...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022000206 |
| _version_ | 1818204541001138176 |
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| author | Eirini Nikolaidou Kristallo Makarona Zafeiris Fachouris Iasmi Stathi Sophia Papadopoulou |
| author_facet | Eirini Nikolaidou Kristallo Makarona Zafeiris Fachouris Iasmi Stathi Sophia Papadopoulou |
| author_sort | Eirini Nikolaidou |
| collection | DOAJ |
| description | Introduction: Cutaneous traumas from scorpion sting envenomation are rare in European countries. Regarding Greece, Euscorpius sicanus' complex is the most widespread scorpion species. The venom of these small dark brown arthropods, which shelter in woods, usually provokes local cutaneous symptoms: erythema, edema, cellulitis, urticarial plaques, ulcers and rarely skin necrosis. We present a case of a massive soft tissue defect of the neck due to a scorpion sting managed by a Plastic Surgery Department in Greece. Case report: In March 2020, a 60 year-old lumberjack was referred to our Clinic due to a neck wound resulting from Euscorpius cf. sicanus sting. After multiple surgical debridements in combination with negative pressure wound therapy healthy tissue was achieved. Reconstruction followed using a 7cmX15cm vertical island trapezius musculocutaneous flap based on the dorsal scapular artery and rotated to cover the defect. The trapezius flap, donor site and graft healed well and resulted in satisfying contouring at the one–year follow–up. Conclusion: This case report is the first presenting Plastic Surgery reconstructive techniques for a massive neck defect after a Euscorpius cf. sicanus scorpion sting. Major complications of such stings need to be managed drastically for the optimum patient's outcome. |
| first_indexed | 2024-12-12T03:42:52Z |
| format | Article |
| id | doaj.art-639e2c9acfee4712bddde5ba824373aa |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-12T03:42:52Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-639e2c9acfee4712bddde5ba824373aa2022-12-22T00:39:38ZengElsevierTrauma Case Reports2352-64402022-06-0139100624Reconstruction of a massive defect of the neck after a scorpion sting: A case reportEirini Nikolaidou0Kristallo Makarona1Zafeiris Fachouris2Iasmi Stathi3Sophia Papadopoulou4Department of Plastic, Reconstructive and Hand Surgery & Burns ICU, General Hospital of Thessaloniki “G. Papanikolaou”, Papanikolaou Avenue, Pilea Chortiatis, 570 10 Thessaloniki, Greece; Corresponding author at: Poseidonos 7, 55132 Kalamaria, Greece.Department of Plastic, Reconstructive and Hand Surgery & Burns ICU, General Hospital of Thessaloniki “G. Papanikolaou”, Papanikolaou Avenue, Pilea Chortiatis, 570 10 Thessaloniki, GreeceDepartment of Plastic, Reconstructive and Hand Surgery & Burns ICU, General Hospital of Thessaloniki “G. Papanikolaou”, Papanikolaou Avenue, Pilea Chortiatis, 570 10 Thessaloniki, GreeceNatural History Museum of Crete, University of Crete, Voutes University Campus, 700 13 Heraklion, Crete, GreeceDepartment of Plastic, Reconstructive and Hand Surgery & Burns ICU, General Hospital of Thessaloniki “G. Papanikolaou”, Papanikolaou Avenue, Pilea Chortiatis, 570 10 Thessaloniki, GreeceIntroduction: Cutaneous traumas from scorpion sting envenomation are rare in European countries. Regarding Greece, Euscorpius sicanus' complex is the most widespread scorpion species. The venom of these small dark brown arthropods, which shelter in woods, usually provokes local cutaneous symptoms: erythema, edema, cellulitis, urticarial plaques, ulcers and rarely skin necrosis. We present a case of a massive soft tissue defect of the neck due to a scorpion sting managed by a Plastic Surgery Department in Greece. Case report: In March 2020, a 60 year-old lumberjack was referred to our Clinic due to a neck wound resulting from Euscorpius cf. sicanus sting. After multiple surgical debridements in combination with negative pressure wound therapy healthy tissue was achieved. Reconstruction followed using a 7cmX15cm vertical island trapezius musculocutaneous flap based on the dorsal scapular artery and rotated to cover the defect. The trapezius flap, donor site and graft healed well and resulted in satisfying contouring at the one–year follow–up. Conclusion: This case report is the first presenting Plastic Surgery reconstructive techniques for a massive neck defect after a Euscorpius cf. sicanus scorpion sting. Major complications of such stings need to be managed drastically for the optimum patient's outcome.http://www.sciencedirect.com/science/article/pii/S2352644022000206EuscorpiusScorpionStingNeck defectReconstructionTrapezius flap |
| spellingShingle | Eirini Nikolaidou Kristallo Makarona Zafeiris Fachouris Iasmi Stathi Sophia Papadopoulou Reconstruction of a massive defect of the neck after a scorpion sting: A case report Trauma Case Reports Euscorpius Scorpion Sting Neck defect Reconstruction Trapezius flap |
| title | Reconstruction of a massive defect of the neck after a scorpion sting: A case report |
| title_full | Reconstruction of a massive defect of the neck after a scorpion sting: A case report |
| title_fullStr | Reconstruction of a massive defect of the neck after a scorpion sting: A case report |
| title_full_unstemmed | Reconstruction of a massive defect of the neck after a scorpion sting: A case report |
| title_short | Reconstruction of a massive defect of the neck after a scorpion sting: A case report |
| title_sort | reconstruction of a massive defect of the neck after a scorpion sting a case report |
| topic | Euscorpius Scorpion Sting Neck defect Reconstruction Trapezius flap |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022000206 |
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