第5巻 2009年10月　第4号

■症例報告

サウナによる顔面重症熱傷の1再建例
小野　真平, 小川　令, 百束　比古
日本医科大学大学院医学研究科形態機能再生再建医学

A Case of Severe Moderate-temperature Facial Burn Due to a Heated Floor in a Japanese Sauna
Shimpei Ono, Rei Ogawa and Hiko Hyakusoku
Department of Plastic, Reconstructive and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School

We describe a case of severe facial burn caused by a heated floor. A 63-year-old man with a history of diabetes mellitus fell asleep on a heated floor in a Japanese sauna after drinking a large quantity of alcohol. He sustained a severe moderate-temperature burn of the nose, upper lip, left cheek, and left earlobe. After the patient's general condition had improved, the affected areas were debrided and reconstructed with flaps. The skin and subcutaneous defect of the upper lip were reconstructed with a submental artery perforator flap. The flap survived completely, and the aesthetic result was good because of a simultaneously reconstructed mustache. The pathogenesis of the moderate-temperature burn is explained by the temperature-time curve and is due mainly to a disorder of blood circulation and the individual's condition. We believe that the number of persons sustaining such burns in saunas will increase because of recent health trends in Japan. Therefore, the danger of such burns should be publicized.

日医大医会誌 2009; 5(4), 225-227

Key words
moderate-temperature burn, sauna, facial burn, submental artery perforator flap, reconstruction

Correspondence to
Shimpei Ono, Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku Tokyo 113-8603, Japan
E-mail：s-ono@nms.ac.jp

受付：2009年4月30日　受理：2009年6月2日