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- Title
Kombinierter Split-ALT/TFL-Lappen zur Deckung großer Defekte im Thoraxbereich.
- Authors
Pelzer, M.; Germann, G.; Czermak, C.; Reichenberger, M.
- Abstract
Background: Large, ulcerating tumors of the chestwall require soft tissue coverage after resection. Depending on size and location usually a latissimus dorsi flap, VRAM or TRAM flap is performed. In very large defects a combined split ALT/TFL flap is a new technique for coverage. Patient and methods: In 4 patients (3 female, 1 male) a soft tissue reconstruction after tumor resection was necessary. The mean age was 54 years. The mean size of the defect was 656 cm. Results: In 3 cases the coverage was achieved by a unilateral, and in 1 case a bilateral combined split ALT/TFL flap. All flaps healed without flap loss. The donor site closure was achieved primarily in 2 cases. In 3 cases a small split skin graft was needed. Conclusion: The indications for combined split ALT/TFL flaps are large defects which cannot be covered by one single flap. The combination of these two long-known flaps on one pedicle is a new development.
- Publication
Der Chirurg, 2014, Vol 85, Issue 1, p42
- ISSN
0009-4722
- Publication type
Article
- DOI
10.1007/s00104-013-2547-3