Distal trapezius musculocutaneous flap for upper thoracic back wounds associated with spinal instrumentation and radiation.

Abstract:

:Upper thoracic wounds with exposed hardware from spinal instrumentation and previous radiation presents a subset of back wound coverage problems that lend themselves to a unique opportunity to use the distal trapezius musculocutaneous flap. The unradiated, healthy skin paddle can be transposed between the radiated skin edges to seal and cover the exposed hardware and achieve early primary healing of the back wound without the need for a skin graft. The authors review their series of the upper back radiated wounds reconstructed with the trapezius musculocutaneous flaps, immediately at the time of the spinal surgery and secondarily after the incisional wound breakdown, to cover the exposed hardware. Their contiguous skin flap design strategy, results, and complications are discussed.

journal_name

Ann Plast Surg

authors

Chun JK,Lynch MJ,Poultsides GA

doi

10.1097/01.SAP.0000054242.00928.06

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

17-22

issue

1

eissn

0148-7043

issn

1536-3708

pii

00000637-200307000-00004

journal_volume

51

pub_type

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