Journal of Tissue Engineering and Reconstructive Surgery >

2020 , Vol. 16 >Issue 3: 216 - 219

DOI: https://doi.org/10.3969/j.issn.1673-0364.2020.03.011

Pedicled Expanded Trunk Flap in the Treatment of Congenital Giant Nevus of Upper Extremity

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  • 17 th Department,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China

Received date: 2020-04-12

  Revised date: 2020-04-30

  Online published: 2020-06-26

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Abstract

Objective To explore the effect of pedicled expanded trunk flap in the treatment of congenital giant nevus of upper extremity in children.

Methods From January 2015 to December 2016, 7 cases of congenital giant nevus of upper extremity were treated with pedicled expanded trunk flap. The operation can be divided into 3 stages: Tissue expanders were implanted into the trunk in Stage Ⅰ; After proper expansion, the giant nevus was resected and the expanded flap was transferred to the upper extremity to establish blood circulation in Stage Ⅱ; Pedicle transection was performed in Stage Ⅲ.

Results The size of the nevus was 16 cm×10 cm to 30 cm×14.5 cm, all giant nevi were completely removed. All patients were followed up for 6 to 39 months (mean 25.5 months). All the flaps survived with good blood supply, the color and texture were similar to the surrounding normal skin, and there were no complications such as infection, hematoma, necrosis and contracture. For cases involving periarticular skin, postoperative joint movements were normal. Expander exposure was noted in 1 case, but had no negative effect on the result.

Conclusion Pedicled expanded trunk flap can provide large areas of normal skin and avoid multiple expansions. It is practical and effective. It is a reliable method to repair the defect of upper extremity.

Key words： Congenital giant nevus; Expanded flap; Pedicled flap

Cite this article

Xiaoning YANG, Jie LI, Xin LI, Lu YU, Keming WANG, Chunhu WANG, Meng WANG, Xuebing LIANG, Jiguang MA . Pedicled Expanded Trunk Flap in the Treatment of Congenital Giant Nevus of Upper Extremity[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2020 , 16(3) : 216 -219 . DOI: 10.3969/j.issn.1673-0364.2020.03.011

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