Double pedicled perforator flap to close flank defects: An alternative for closure of a large lumbar defect after basalioma excision - A case report and review of the literature

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Gunther Arco - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Raymund E. Horch - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Andreas Arkudas - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Adrian Dragu - , University Center for Orthopedics, Trauma and Plastic Surgery, University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg, Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Alexander D. Bach - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Ulrich Kneser - , Friedrich-Alexander University Erlangen-Nürnberg (Author)

Abstract

Large defects following resection of skin cancers are sometimes a challenge for the reconstructive surgeon. Although skin grafts are considered as the first choice for reconstruction of large skin defects at the trunk region, pedicled or free flaps provide sometimes a superior functional and aesthetic outcome. Perforator flaps represent a valuable option for these patients. The progress in understanding the perforator vessel system of the body facilitated the development of a plethora of novel pedicled flaps which could be transferred over long distances with minimal donor site morbidity. We present a patient suffering from a large exulcerated basalioma at the lumbar region. The skin defect after excision was reconstructed using a novel concept based on 2 independent pedicled perforator flaps, a lumbar artery perforator, and a lateral intercostal artery perforator.

Details

Original languageEnglish
Pages (from-to)422-424
Number of pages3
JournalAnnals of Plastic Surgery
Volume63
Issue number4
Publication statusPublished - Oct 2009
Peer-reviewedYes

External IDs

PubMed 19745707
ORCID /0000-0003-4633-2695/work/145698727

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • Basal cell carcinoma, Basalioma, Defect, Flap, Intercostal, LAP, Lateral, LICAP, Lumbar, Pedicled, Perforator