Schreiber Martin, Dragu Adrian
Klinik für Plastische und Handchirurgie mit Schwerbrandverletztenzentrum, Klinikum St. Georg gGmbH, Leipzig, Germany.
GMS Interdiscip Plast Reconstr Surg DGPW. 2015 Jan 13;4:Doc01. doi: 10.3205/iprs000060. eCollection 2015.
Severe soft tissue defects as a result of lye contamination remain a huge challenge in the interdisciplinary approach of trauma surgeons and plastic surgeons. Free tissue transfer is a suitable surgical option for successful reconstruction of form and function of defects in the distal parts of the lower extremities. We report the successful two-stage reconstruction of a full thickness lye contamination at the dorsum of the foot with a free temporoparietal fascia flap covered with a split-thickness skin graft from the thigh. The described method is a suitable operative alternative to anterolateral thigh flaps or other thin fascia flaps regarding flap harvest and donor site morbidity and should be considered in the portfolio of the plastic surgeon.
由于碱液污染导致的严重软组织缺损,在创伤外科医生和整形外科医生的多学科治疗中仍然是一个巨大的挑战。游离组织移植是成功重建下肢远端缺损形态和功能的合适手术选择。我们报告了一例采用游离颞顶筋膜瓣覆盖大腿断层皮片,成功分两期重建足部背侧全层碱液污染创面的病例。就皮瓣切取和供区并发症而言,所述方法是大腿前外侧皮瓣或其他薄筋膜皮瓣的合适手术替代方案,整形外科医生应将其纳入治疗方案中考虑。