Lateral arm microvascular free tissue reconstruction of a large neck keloid
2014; Elsevier BV; Volume: 35; Issue: 4 Linguagem: Inglês
10.1016/j.amjoto.2014.01.008
ISSN1532-818X
AutoresYunwei Chen, Nipun Chhabra, Yi-Chun Carol Liu, Chad Zender,
Tópico(s)Reconstructive Facial Surgery Techniques
ResumoKeloid scars pose a surgical challenge in the region of the head and neck. We present a rare case of a large infected and recurrent neck keloid that failed multiple prior reconstructive attempts. Ultimately, the tissue was resected and the surgical bed was repaired with a lateral arm microvascular free flap. This repair emphasizes the need for adequate coverage of the defect while maintaining neck mobility, ease of swallowing, and cosmesis. This is the second report in the literature of free tissue transfer as treatment for a large keloid scar, and the first to show the feasibility of early post operative low dose irradiation of the surgical bed.
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