Buttock burns are rarely reported as they are seldom exposed and to our knowledge there has been a paucity of literature reporting chemical alkali burns.
We present 2 case reports of isolated adult buttock burns following insidious exposure to household alkali
Interestingly, both were sustained while seated during transportation. These were both deep burns and required excision and split thickness skin grafting.
The buttocks are difficult areas to manage as there is an inherent risk of faecal contamination. Significant pressure and shear forces also presents as a harsh environment for skin graft to survive. To overcome this, we dressed the wounds with negative pressure wound therapy to reduce faecal contamination while reducing shear and pressure to the grafts.
Both patients recovered well from their surgical procedures and achieved 100% graft take.