Case Report of a Nipple Amputation After a Horse Bite

Horse related injuries include falling from a horse, being stepped on by a horse, kicks, or bites. Bites are rare and often associated with fatalities. We present a case of a 41-year-old healthy female who suffered a complete amputation of her right nipple and abrasion of the areola following a horse bite. We managed the nipple injury as a full-thickness skin graft, similar to that of a compromised nipple in a reduction mammaplasty or mastopexy case. Barring a lack of projection and minor hypopigmentation, the nipple had normal sensation with no scar contracture. Overall, the patient was happy with her final outcome. With a healthy, minimally contaminated wound bed, and lack of poor wound healing risk factors, we believe that treating a nipple amputation as a full thickness skin graft in the emergency setting results in aesthetic outcomes, sensation, and patient satisfaction comparable if not superior to other means of nipple reconstruction in adults.

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Early wound repair versus later scar repair in children with treadmill hand friction burns

Journal of Burn Care & Research ◽

10.1093/jbcr/irab083 ◽

2021 ◽

Author(s):

Rong Zhou ◽

Lin Qiu ◽

Jun Xiao ◽

Xiaobo Mao ◽

Xingang Yuan

Keyword(s):

Skin Graft ◽

Wound Repair ◽

Full Thickness ◽

Full Thickness Skin Graft ◽

Vacuum Sealing ◽

Full Thickness Skin ◽

Thickness Skin ◽

Vacuum Sealing Drainage ◽

Repair Group ◽

Hand Friction

Abstract The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (9 patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (P>0.05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (P<0.05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.

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