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Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report

The deep inferior epigastric artery perforator (DIEP) flap is an excellent option for microsurgical breast reconstruction. In selected cases, e.g. in case of previous abdominoplasty, other autologous options like transverse upper gracilis (TUG) or superior gluteal artery perforator (sGAP) flaps can...

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Autores principales: Al-Malat, Tarek, Taskin, Berivan, Schäller, Sebastian, Mettal-Minski, Daniela, Mannil, Lijo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10279530/
https://www.ncbi.nlm.nih.gov/pubmed/37347045
http://dx.doi.org/10.3205/iprs000171
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author Al-Malat, Tarek
Taskin, Berivan
Schäller, Sebastian
Mettal-Minski, Daniela
Mannil, Lijo
author_facet Al-Malat, Tarek
Taskin, Berivan
Schäller, Sebastian
Mettal-Minski, Daniela
Mannil, Lijo
author_sort Al-Malat, Tarek
collection PubMed
description The deep inferior epigastric artery perforator (DIEP) flap is an excellent option for microsurgical breast reconstruction. In selected cases, e.g. in case of previous abdominoplasty, other autologous options like transverse upper gracilis (TUG) or superior gluteal artery perforator (sGAP) flaps can be considered. The anterolateral thigh (ALT) flap is reported to be used as a salvage procedure in selected cases of breast reconstruction, where other flaps were not available or failed. We present a case of a 41-year-old woman who was undergoing bilateral breast reconstruction after bilateral mastectomies following implant-based mastopexie and multiple infections. She also suffered from an adult onset Still’s disease (AOSD) and was thus immunosuppressed. Microsurgical breast reconstruction was performed in a two-stage procedure. The left breast was reconstructed using a TUG flap. On the right side the TUG reconstruction failed due to vascular anomaly, so an ALT flap was successfully used instead. The whole procedure was accompanied by a multidisciplinary approach including a rheumatological complex treatment and enabled a successful bilateral breast reconstruction in this challenging case.
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spelling pubmed-102795302023-06-21 Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report Al-Malat, Tarek Taskin, Berivan Schäller, Sebastian Mettal-Minski, Daniela Mannil, Lijo GMS Interdiscip Plast Reconstr Surg DGPW Article The deep inferior epigastric artery perforator (DIEP) flap is an excellent option for microsurgical breast reconstruction. In selected cases, e.g. in case of previous abdominoplasty, other autologous options like transverse upper gracilis (TUG) or superior gluteal artery perforator (sGAP) flaps can be considered. The anterolateral thigh (ALT) flap is reported to be used as a salvage procedure in selected cases of breast reconstruction, where other flaps were not available or failed. We present a case of a 41-year-old woman who was undergoing bilateral breast reconstruction after bilateral mastectomies following implant-based mastopexie and multiple infections. She also suffered from an adult onset Still’s disease (AOSD) and was thus immunosuppressed. Microsurgical breast reconstruction was performed in a two-stage procedure. The left breast was reconstructed using a TUG flap. On the right side the TUG reconstruction failed due to vascular anomaly, so an ALT flap was successfully used instead. The whole procedure was accompanied by a multidisciplinary approach including a rheumatological complex treatment and enabled a successful bilateral breast reconstruction in this challenging case. German Medical Science GMS Publishing House 2023-03-02 /pmc/articles/PMC10279530/ /pubmed/37347045 http://dx.doi.org/10.3205/iprs000171 Text en Copyright © 2023 Al-Malat et al. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Al-Malat, Tarek
Taskin, Berivan
Schäller, Sebastian
Mettal-Minski, Daniela
Mannil, Lijo
Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report
title Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report
title_full Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report
title_fullStr Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report
title_full_unstemmed Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report
title_short Using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset Still’s disease: A case report
title_sort using an anterolateral thigh flap in autologous breast reconstruction as a salvage procedure in a patient with adult-onset still’s disease: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10279530/
https://www.ncbi.nlm.nih.gov/pubmed/37347045
http://dx.doi.org/10.3205/iprs000171
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