Reconstruction of soft tissue defect with latissimus dorsi muscle flap after deep burn of shoulder girdle with the exposing of bone structures in malnourished patients with impaired immunity – a case report

2014 ◽  
Vol 2 (2) ◽  
pp. 105-111
Author(s):  
Ryszard J. Mądry ◽  
Jerzy Strużyna ◽  
Sergey Antonov ◽  
Tomasz Korzeniowski ◽  
Magdalena Bugaj ◽  
...  
2017 ◽  
Vol 19 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Anne Morice ◽  
Frédéric Kolb ◽  
Arnaud Picard ◽  
Natacha Kadlub ◽  
Stéphanie Puget

Reconstruction of complex skull defects requires collaboration between neurosurgeons and plastic surgeons to choose the most appropriate procedure, especially in growing children. The authors describe herein the reconstruction of an extensive traumatic bone and soft tissue defect of the cranial vault in an 11-year-old boy. The size of the defect, quality of the tissues, and patient's initial condition required a 2-stage approach. Ten months after an initial emergency procedure in which lacerated bone and soft tissue were excised, reconstruction was performed. The bone defect, situated on the left frontoparietal region, was 85 cm2 and was filled by a custom-made porous hydroxyapatite implant. The quality of the overlying soft tissue did not allow the use of classic local and locoregional coverage techniques. A free latissimus dorsi muscle flap branched on the contralateral superficial temporal pedicle was used and left for secondary healing to take advantage of scar retraction and to minimize alopecia. Stable well-vascularized implant coverage as well as an esthetically pleasing skull shape was achieved. Results in this case suggest that concomitant reconstruction of large calvarial defects by cranioplasty with a custom-made hydroxyapatite implant covered by a free latissimus dorsi muscle flap is a safe and efficient procedure in children, provided that there is no underlying infection of the operative site.


1988 ◽  
Vol 18 (4) ◽  
pp. 460-464 ◽  
Author(s):  
Hiromasa Fujita ◽  
Yoshikazu Yoshimura ◽  
Hideaki Yamana ◽  
Genzan Shirouzu ◽  
Taizo Minami ◽  
...  

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