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Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia
INTRODUCTION: Aplasia cutis congenita presents a reconstructive challenge. We report the use of a tube pedicle radial forearm flap for scalp resurfacing in a patient who previously had two failed free flaps. CASE REPORT: A young male patient with cutis aplasia presented with a large full thickness d...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260397/ https://www.ncbi.nlm.nih.gov/pubmed/32490126 http://dx.doi.org/10.1016/j.jpra.2020.04.001 |
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author | Jing, S.S. Chakrabarty, K. |
author_facet | Jing, S.S. Chakrabarty, K. |
author_sort | Jing, S.S. |
collection | PubMed |
description | INTRODUCTION: Aplasia cutis congenita presents a reconstructive challenge. We report the use of a tube pedicle radial forearm flap for scalp resurfacing in a patient who previously had two failed free flaps. CASE REPORT: A young male patient with cutis aplasia presented with a large full thickness defect of his occiput. He had multiple episodes of recurrent infections and a history of numerous surgeries as a child including tissue expansions. As a young adult he had two failed free flap reconstructions. A CT angiogram failed to demonstrate any adequate bloody supply to the scalp that would be suitable for another free tissue transfer. We successfully performed a tube pedicled flap from his forearm achieving good functional and aesthetic results. CONCLUSION: Originally descried by Filatov, the tube pedicle flaps remains a useful salvage option in the armamentarium of modern-day reconstruction. |
format | Online Article Text |
id | pubmed-7260397 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-72603972020-06-01 Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia Jing, S.S. Chakrabarty, K. JPRAS Open Case Reports and Short Communication INTRODUCTION: Aplasia cutis congenita presents a reconstructive challenge. We report the use of a tube pedicle radial forearm flap for scalp resurfacing in a patient who previously had two failed free flaps. CASE REPORT: A young male patient with cutis aplasia presented with a large full thickness defect of his occiput. He had multiple episodes of recurrent infections and a history of numerous surgeries as a child including tissue expansions. As a young adult he had two failed free flap reconstructions. A CT angiogram failed to demonstrate any adequate bloody supply to the scalp that would be suitable for another free tissue transfer. We successfully performed a tube pedicled flap from his forearm achieving good functional and aesthetic results. CONCLUSION: Originally descried by Filatov, the tube pedicle flaps remains a useful salvage option in the armamentarium of modern-day reconstruction. Elsevier 2020-05-16 /pmc/articles/PMC7260397/ /pubmed/32490126 http://dx.doi.org/10.1016/j.jpra.2020.04.001 Text en © 2020 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Reports and Short Communication Jing, S.S. Chakrabarty, K. Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia |
title | Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia |
title_full | Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia |
title_fullStr | Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia |
title_full_unstemmed | Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia |
title_short | Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia |
title_sort | standing on the shoulder of giants: tubed pedicle radial forearm flap reconstruction for cutis aplasia |
topic | Case Reports and Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260397/ https://www.ncbi.nlm.nih.gov/pubmed/32490126 http://dx.doi.org/10.1016/j.jpra.2020.04.001 |
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