Fried, Frederik W. and Beier, Justus P. and Bohr, Christopher and Iro, Heinrich and Horch, Raymund E. and Arkudas, Andreas (2019) Free Latissimus Dorsi Myocutaneous Flap in a 6-Month-Old Child for Reconstruction of a Temporal Fossa Defect After Teratoma Resection. ANNALS OF PLASTIC SURGERY, 82 (1). pp. 62-63. ISSN 0148-7043, 1536-3708
Full text not available from this repository. (Request a copy)Abstract
Although free flap reconstruction has already gained widespread acceptance in pediatric patients, little is known about the outcome of free tissue transfer in head and neck reconstruction in pediatric patients. We present a case of a 6-month-old boy with a large volume deficit in the right temporal fossa after resection of a teratoma. This led to a large volume deficit with widely undermined skin margins. Therefore, we provided volume augmentation by microsurgical free latissimus dorsi myocutaneous flap transplantation. Intraoperative use of laser-assisted indocyanine green angiography indicated excellent flap perfusion. Postoperative magnetic resonance imaging showed adequate flap perfusion with no signs of flap necrosis. To our best knowledge, this case presents the youngest patient who underwent free flap transplantation in the head and neck region. Our case demonstrates that microvascular surgery can play an important role in particular cases in pediatric oncology, even in very young patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | FREE-TISSUE TRANSFER; MANAGEMENT; MICROSURGERY; indocyanine green angiography; latissimus dorsi free flap; reconstruction in pediatric patient; temporal fossa; teratoma |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Apr 2020 08:39 |
| Last Modified: | 22 Apr 2020 08:39 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27941 |
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