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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...

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Autores principales: Jing, S.S., Chakrabarty, K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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.
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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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