Treatment of recontracture with the subcutaneous pedicle rhomboid flap

Plastic and Reconstructive Surgery
Nilgün Markal ErtaşSelim Celebioğlu

Abstract

Treatment of recontractures that were previously skin grafted or treated with Z-plasty is a challenge. Application of a subsequent Z-plasty is risky because of the possibility of tip necrosis of the triangular flaps, whereas donor-site morbidity is undesirable if subsequent skin grafting is planned. The subcutaneous pedicle rhomboid flap is an effective technique for the treatment of every type of contracture. This article presents the clinical results of the rhomboid flap used in treatment of recontractures as an alternate technique to Z-plasty and skin grafting. The authors operated on seven patients with recontractures (aged 4 to 45 years) using 19 rhomboid flaps. Flaps were applied in the upper extremity (seven flaps), lower extremity (five flaps), trunk (five flaps), neck (one flap), and axilla (one flap). Z-plasty scars were present in three locations, whereas skin grafting was previously applied in 16 locations. Preoperative rhomboid flap designs were made regardless of previous scars as single flaps in six locations and multiple flaps in 13 locations. Operations were performed under local and general anesthesia. Patients were followed up for at least 6 months. All flaps achieved adequate relaxation postoperatively and h...Continue Reading

References

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Oct 14, 2004·Annals of Plastic Surgery·Nilgün Markal ErtaşSelim Celebioğlu

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Citations

Mar 8, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Hong ZhouHua-Qiang Ge
Oct 14, 2008·Burns : Journal of the International Society for Burn Injuries·Viktor M Grishkevich
Sep 22, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kyori EzoeKatsunori Yokoi
May 25, 2010·Burns : Journal of the International Society for Burn Injuries·V M Grishkevich
Sep 24, 2014·Burns : Journal of the International Society for Burn Injuries·Elif SariHulda Rifat Ozakpinar
Apr 2, 2017·Hand Clinics·Ryan P CauleyKyle R Eberlin
Sep 5, 2017·Journal of Plastic Surgery and Hand Surgery·Serdar AltunAli Bal
Nov 7, 2015·Annals of Plastic Surgery·Ji Hong Yim, Taik Jong Lee

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