Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김정태 | - |
dc.date.accessioned | 2018-03-20T05:32:12Z | - |
dc.date.available | 2018-03-20T05:32:12Z | - |
dc.date.issued | 2012-04 | - |
dc.identifier.citation | JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2012, 65(4), P.517-520 | en_US |
dc.identifier.issn | 1748-6815 | - |
dc.identifier.uri | http://www.jprasurg.com/article/S1748-6815(11)00497-9/fulltext | - |
dc.identifier.uri | http://hdl.handle.net/20.500.11754/49536 | - |
dc.description.abstract | Marjolin's ulcer is a very aggressive form of squamous cell carcinoma arising from chronic wounds or unstable scars. A resection margin of at least 2 cm with clear deep margin is required on removal. A 79-year-old male presented with chronic osteomyelitis of the left anterior tibial region with chronic ulceration. Biopsy revealed squamous cell carcinoma. The tumour, measuring 8 cm, was resected with surrounding unstable scar tissue including en bloc resection of the involved tibial bone, leaving the posterior cortex. Reconstruction was done with a fibular free flap from the contralateral side, but the pedicle length was too short to reach the anterior tibial vessels. To bridge the vascular gap, and to cover the soft-tissue defect, a latissimus dorsi free flap was harvested using the muscle-sparing method. The thoracodorsal vessels were used as an interpositional graft to anastomose the peroneal vessels of the fibular flap. The patient was ambulatory by 4 months, and complete bone union was seen after 6 months. During the 18-month follow-up period, there was no evidence of recurrence. (C) 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier SCI Ltd. | en_US |
dc.subject | Bridging flap | en_US |
dc.subject | Latissimus dorsi free flap | en_US |
dc.subject | Fibular free flap | en_US |
dc.subject | Marjolin's ulcer | en_US |
dc.subject | Tibial reconstruction | en_US |
dc.subject | T-anastomosis | en_US |
dc.subject | Branch to serratus anterior | en_US |
dc.title | Use of latissimus dorsi flap pedicle as a T-junction to facilitate simultaneous free fibular flap inset in lower extremity salvage | en_US |
dc.type | Article | en_US |
dc.relation.no | 4 | - |
dc.relation.volume | 65 | - |
dc.identifier.doi | 10.1016/j.bjps.2011.08.034 | - |
dc.relation.page | 517-520 | - |
dc.relation.journal | JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY | - |
dc.contributor.googleauthor | Hwang, Kyu Tae | - |
dc.contributor.googleauthor | Youn, Seungki | - |
dc.contributor.googleauthor | Kim, Jeong Tae | - |
dc.contributor.googleauthor | Lee, Seung Hoon | - |
dc.contributor.googleauthor | Ng, Siew-Weng | - |
dc.contributor.googleauthor | Kim, Youn Hwan | - |
dc.relation.code | 2012214134 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | jtkim | - |
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