Free anterolateral thigh perforator flap in a patient with systemic sclerosis and Raynaud's phenomenon Journal Article
| Authors: | Jandali, S.; Mehrara, B. |
| Article Title: | Free anterolateral thigh perforator flap in a patient with systemic sclerosis and Raynaud's phenomenon |
| Abstract: | In this report, we present the first successful case of a perforator flap microvascular tissue transfer in a patient with severe scleroderma and Raynaud's phenomenon. Microvascular transfer in the setting of Raynaud's phenomenon has been reported in four patients in the medical literature. In one case (radial forearm flap), the flap was lost on postoperative day 3 due to severe, unremitting vasospasm. Together, these findings provide putative evidence that microvascular tissue transfer of myocutaneous flaps and even perforator flaps is feasible in patients with severe scleroderma. It is likely, however, that flap complication rates may be higher. Every effort should be made to keep the patient warm and avoid vasospasm. Calcium channel blockers may be helpful, but their use should probably be avoided if hypotension is encountered. Similarly, anticoagulation may be helpful, although its use in this case was precluded by intracranial surgery. Copyright ©2006 by the American Society of Plastic Surgeons. |
| Keywords: | adult; treatment outcome; bone neoplasms; middle aged; reconstructive surgical procedures; clinical feature; case report; head and neck surgery; squamous cell carcinoma; carcinoma, squamous cell; surgical flaps; neurosurgery; neoplasm recurrence, local; skin neoplasms; muscle flap; thigh; meningeal neoplasms; neoplasm invasiveness; free tissue graft; face surgery; dura mater; clinical examination; raynaud phenomenon; forehead; face cancer; wounds and injuries; syndrome crest; systemic sclerosis; crest syndrome; frontal bone |
| Journal Title: | Plastic and Reconstructive Surgery |
| Volume: | 118 |
| Issue: | 4 |
| ISSN: | 0032-1052 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2006-09-15 |
| Start Page: | 90e |
| End Page: | 92e |
| Language: | English |
| DOI: | 10.1097/01.prs.0000232388.59236.3a |
| PUBMED: | 16980839 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 2" - "Export Date: 4 June 2012" - "CODEN: PRSUA" - "Source: Scopus" |
