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J Burn Care Res. 2011 Jul-Aug;32(4):e146-8. doi: 10.1097/BCR.0b013e3182223f3e.

Fourth-degree burn of the brain from friction burn of scalp: an unusual injury from a golf cart.

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Department of Surgery, University of Cincinnati College of Medicine, University Hospital Burn Center, Cincinnati, Ohio, USA.


Intracranial injury has been reported secondary to not only blunt and penetrating trauma but also thermal and high-voltage electrical injury. Reconstruction can be challenging, especially in the face of necrosis of large areas of the cranium. The authors present a novel case of fourth-degree thermal burn to the head caused by a rotating tire. Initial wound debridement exposed dura, prompting a dural patch and Integra® for temporary coverage. Definitive coverage was accomplished with a latissimus dorsi free flap. The injury was complicated by associated neurologic defects and seizure activity. However, management was effective, and at 1 year, the patient is alive and well.

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