A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis
Archives of Aesthetic Plastic Surgery
; : 153-156, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-717917
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Mastectomy flap necrosis is a common complication after mastectomy and immediate reconstruction with a deep inferior epigastric perforator (DIEP) flap. After abdominal free flap breast reconstruction, the most common secondary procedure is dog-ear correction of both flanks. We introduce a treatment for skin necrosis with a full-thickness skin graft (FTSG) using the abdominal dog-ear deformity.METHODS:
In patients with skin necrosis of a mastectomy flap, we debrided all necrotic tissue when the demarcation was complete. We then performed an FTSG using the skin from the dog-ear correction of both flank areas. We fixed the graft with a tie-over dressing, and it was then removed on postoperative day 5.RESULTS:
Skin necrosis of the mastectomy flap and dog-ear deformity were treated without any complications. The color and texture of the breasts were satisfactory.CONCLUSIONS:
If a patient experiences post-mastectomy skin flap necrosis and has a dog-ear deformity on both sides of the flank after a DIEP flap, a dog-ear skin flap can be a good alternative donor site for reconstruction.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Skin
/
Congenital Abnormalities
/
Tissue Donors
/
Bandages
/
Breast
/
Mammaplasty
/
Transplants
/
Free Tissue Flaps
/
Mastectomy
/
Necrosis
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Aesthetic Plastic Surgery
Year:
2018
Document type:
Article