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Traumatic Thoracic Blast Injury With Extensive Soft Tissue Damage, Volumetric Muscle Loss, and Full-Thickness Burns From a Flashbang Detonation: A Case Report

Year: 2024

Type: article

Abstract: Chest trauma is a common injury in civilian and military polytrauma patients and is a leading cause of death and chronic disabilities. Evolving surgical techniques and advancements in chest wall reconstruction have improved clinical outcomes, reduced operative complications, and decreased mortality. In this case report, a 23-year-old male U.S. Army soldier sustained a left chest wall and shoulder blast injury with significant soft tissue damage, volumetric pectoralis major muscle loss, mild sensory nerve damage, and third-degree burns from a flashbang grenade. The initial treatment involved wound debridement, IV antibiotics, and pain management. This was followed by surgical reconstruction using a local advancement flap to prevent infection, address tissue loss, and restore chest wall integrity. Postoperative care included pain management and physical therapy, leading to a successful recovery with restored mobility and chest wall stability. This case highlights the challenges of treating severe chest wall trauma with burns, emphasizing the importance of timely surgical intervention and a multidisciplinary approach.

Source: Cureus

DOI: 10.7759/cureus.74920

Authors: Sahil Patel, Roberto Echeverri

Institutions: Nova Southeastern University, Miami VA Healthcare System, Veterans Health Administration

Language: English

Topic: Trauma Management and Diagnosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404892326