Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4118197 | Journal of Plastic, Reconstructive & Aesthetic Surgery | 2013 | 4 Pages |
Abstract
SummaryWe present the case of an 8-year-old girl who suffered from acute myeloid leukaemia-related necrotising fasciitis in her early childhood resulting in severe skin and soft-tissue loss with subsequent circumferential thoracic scar formation. While tissue expander use yielded successful skin replacement for median scar areas, ribs were covered with ultrathin skin envelope at the lateral thoracic wall leading to growth and shoulder abduction impairment. Skin and soft-tissue reconstruction of these extended rib areas was aimed for in a one-step approach. Both lateral thoracic walls were successfully reconstructed with free microsurgical transfer of large pre-expanded tensor fasciae latae flaps, in order to enable future thoracic growth
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Authors
Justus P. Beier, Raymund E. Horch, Ulrich Kneser,