Distal Trapezius Musculocutaneous Flap for Upper Thoracic Back Wounds Associated With Spinal Instrumentation and Radiation
| Autor: | Matthew J. Lynch, Jin K. Chun, George A. Poultsides |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Incision wound Skin flap Surgical Flaps Thoracic Vertebrae Thoracic back medicine Humans Primary healing Radiation Injuries Aged Back Wound Healing Spinal Neoplasms Musculocutaneous Flaps integumentary system Spinal instrumentation business.industry Middle Aged Plastic Surgery Procedures Skin paddle Internal Fixators Spinal surgery Surgery Female business |
| Zdroj: | Annals of Plastic Surgery. 51:17-22 |
| ISSN: | 0148-7043 |
| DOI: | 10.1097/01.sap.0000054242.00928.06 |
| Popis: | Upper thoracic wounds with exposed hardware from spinal instrumentation and previous radiation presents a subset of back wound coverage problems that lend themselves to a unique opportunity to use the distal trapezius musculocutaneous flap. The unradiated, healthy skin paddle can be transposed between the radiated skin edges to seal and cover the exposed hardware and achieve early primary healing of the back wound without the need for a skin graft. The authors review their series of the upper back radiated wounds reconstructed with the trapezius musculocutaneous flaps, immediately at the time of the spinal surgery and secondarily after the incisional wound breakdown, to cover the exposed hardware. Their contiguous skin flap design strategy, results, and complications are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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