A rare case of deep penetrating burn injury caused by misuse of a high-pres
sure acetylene burner is reported. A 35 year old man was admitted with seco
nd and third degree burns involving the right arm cubital area and a subcut
aneous burn an his right arm caused by a high-pressure acetylene gas flame.
Early surgical debridement and secondary skin grafting using a preserved s
ubcutaneous vascular network skin graft (PSVNSG) proved effective in this p
atient. Skin contracture was prevented and function was recovered. The basi
s of PSVNSG is that the vascular system existing in the graft is used as a
permanent vascular system without degeneration. This case shows that, in th
is kind of burn injury, subcutaneous tissue damage should be suspected and
that it is important to perform surgical debridement early after admission.
(C) 1999 Elsevier Science Ltd and ISBI. AII rights reserved.