Bilateral pre-expanded free TFL flaps for reconstruction of severe thoracic scar contractures in an 8-year-old girl

被引:4
作者
Beier, Justus P. [1 ]
Horch, Raymund E. [1 ]
Kneser, Ulrich [1 ]
机构
[1] Univ Erlangen Nurnberg, Univ Hosp Erlangen, Dept Plast & Hand Surg, D-91054 Erlangen, Germany
关键词
Free flap in children; Free TFL flap; Pre-expanded TFL flap; TENSOR FASCIAE LATAE; DEFECTS;
D O I
10.1016/j.bjps.2013.04.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
We present the case of an 8-year-old girl who suffered from acute myeloid leukaemia-related necrotising fasciitis in her early childhood resulting in severe skin and soft-tissue loss with subsequent circumferential thoracic scar formation. While tissue expander use yielded successful skin replacement for median scar areas, ribs were covered with ultrathin skin envelope at the lateral thoracic wall leading to growth and shoulder abduction impairment. Skin and soft-tissue reconstruction of these extended rib areas was aimed for in a one-step approach. Both lateral thoracic walls were successfully reconstructed with free microsurgical transfer of large pre-expanded tensor fasciae latae flaps, in order to enable future thoracic growth (c) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1766 / 1769
页数:4
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