계명대학교 의학도서관 Repository

넓은등근이 없는 환자에서 두 개의 천공지피판을 이용한 흉부 궤양의 치료: 증례보고

Metadata Downloads
Author(s)
김서영이성원손대구
Keimyung Author(s)
Son, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Archives of Hand and Microsurgery
Issued Date
2018
Volume
23
Issue
2
Keyword
Latissimus dorsi, Perforator flap, Thorax, Radiation injuries, Perforator flap
Abstract
Latissimus dorsi muscle flap is a commonly used reconstructive method on chest wall reconstruction. But meeting patient with absence of latissimus dorsi muscle on intra-operatively is very rare and embarrassing experience. A 73-year-old woman visited our clinic with radiation induced chronic ulceration on the right chest. In the presented case, the patient had received modified radical mastectomy with radiation therapy 36 years ago and lymphatic edema of the upper extremity lasting for 30 years. The ulceration was developed 6 weeks ago and accompanied by profound erythema and abscess pocket. The presence of right thoracodorsal artery in the computed tomography taken before surgery was confirmed and we planned to reconstruct the defect using latissimus dorsi muscle flap. When the authors dissected the skin paddle to elevate the flap, we found that there was no latissimus dorsi muscle. So, we decided to cover the defect by free style perforator flaps. We describe our experience of reconstructing radiation induced chest wall ulceration with intercostal and thoracodorsal artery perforator flaps on latissimus dorsi muscle absence patient. We recommend that the presence of latissimus dorsi muscle be confirmed by imaging before surgery if the patient has a long history of previous breast cancer surgery or lymphatic edema.
Alternative Title
Treatment of Chronic Chest Ulcer Using Two Sequential Perforator Flaps in Latissimus Dorsi Muscle Absence Patient: A Case Report
Keimyung Author(s)(Kor)
손대구
Publisher
School of Medicine (의과대학)
Citation
김서영 et al. (2018). 넓은등근이 없는 환자에서 두 개의 천공지피판을 이용한 흉부 궤양의 치료: 증례보고. Archives of Hand and Microsurgery, 23(2), 110–115. doi: 10.12790/ahm.2018.23.2.110
Type
Article
ISSN
2586-3290
DOI
10.12790/ahm.2018.23.2.110
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41594
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
Authorize & License
  • Authorize공개
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.