Pre-expanded thin DIEP free flap in pediatric upper extremity reconstruction for burn sequelae: A case report.
Ann Chir Plast Esthet
; 69(2): 173-177, 2024 Mar.
Article
en En
| MEDLINE
| ID: mdl-38216362
ABSTRACT
Deep burns sequelae involving the upper limb are challenging even for experienced surgeons, mainly because local reconstructive options and donor sites are often compromised. The use of free flaps for this type of reconstruction remains difficult due to the small recipient vessel diameter and tendency to vasospasm. Moreover, pediatric cases bring the challenge to another level. We present the case of a 13-year-old girl presenting major retractile sequelae of the upper left limb, including complete wrist immobilization combining wrist hyper-extension, ulnar deviation deformity, and a ulno-carpal dislocation. She was referred to our department where a two-stage reconstruction was performed using a pre-expanded free deep inferior epigastric artery perforator (DIEP) flap. The first surgery consisted of placing two kidney-shaped expanders in a subfascial plane in the hypogastric region. Four months later, after a bi-weekly expansion, an excision of the scar tissue, and the DIEP flap transfer were completed. At the 12-month follow-up evaluation, both aesthetic and functional results were satisfactory, with a good contour and regained mobility of the wrist.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Quemaduras
/
Mamoplastia
/
Colgajos Tisulares Libres
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Colgajo Perforante
Límite:
Adolescent
/
Child
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Female
/
Humans
Idioma:
En
Revista:
Ann Chir Plast Esthet
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Francia