Pre-expanded thin DIEP free flap in pediatric upper extremity reconstruction for burn sequelae: A case report

We present the case of a 13-year-old girl presenting major retractile sequelae of the upper left limb, including complete wrist immobilization combining wrist hyper-extension, ulnar deviation deformity, and a ulno-carpal dislocation. She was referred to our department where a two-stage reconstruction was performed using a pre-expanded free deep inferior epigastric artery perforator (DIEP) flap. The first surgery consisted of placing two kidney-shaped expanders in a subfascial plane in the hypogastric region. Four months later, after a bi-weekly expansion, an excision of the scar tissue, and the DIEP flap transfer were completed. At the 12-month follow-up evaluation, both aesthetic and functional results were satisfactory, with a good contour and regained mobility of the wrist.PMID:38216362 | DOI:10.1016/j.anplas.2023.11.001

Source: Annales de Chirurgie Plastique et Esthetique - January 12, 2024 Category: Cosmetic Surgery Authors: B Gherle V L Pozner Y Berkane E Watier N Bertheuil Q Qassemyar Source Type: research