Pre-expanded thin DIEP free flap in pediatric upper extremity reconstruction for burn sequelae: A case report - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Annales de Chirurgie Plastique Esthétique Année : 2024

Pre-expanded thin DIEP free flap in pediatric upper extremity reconstruction for burn sequelae: A case report

Résumé

Deep burns sequelae involving the upper limb are challenging even for experienced surgeons, mainly because local reconstructive options and donor sites are often compromised. The use of free flaps for this type of reconstruction remains difficult due to the small recipient vessel diameter and tendency to vasospasm. Moreover, pediatric cases bring the challenge to another level. We present the case of a 13-year-old girl presenting major retractile sequelae of the upper left limb, including complete wrist immobilization combining wrist hyper-extension, ulnar deviation deformity, and a ulno-carpal dislocation. She was referred to our department where a two-stage reconstruction was performed using a pre-expanded free deep inferior epigastric artery perforator (DIEP) flap. The first surgery consisted of placing two kidney-shaped expanders in a subfascial plane in the hypogastric region. Four months later, after a bi-weekly expansion, an excision of the scar tissue, and the DIEP flap transfer were completed. At the 12-month follow-up evaluation, both aesthetic and functional results were satisfactory, with a good contour and regained mobility of the wrist.
Fichier non déposé

Dates et versions

hal-04444599 , version 1 (07-02-2024)

Identifiants

Citer

B Gherle, V L Pozner, Y Berkane, E Watier, N Bertheuil, et al.. Pre-expanded thin DIEP free flap in pediatric upper extremity reconstruction for burn sequelae: A case report. Annales de Chirurgie Plastique Esthétique, 2024, Annales de Chirurgie Plastique et Esthetique, 69 (2), pp.173-177. ⟨10.1016/j.anplas.2023.11.001⟩. ⟨hal-04444599⟩
7 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More