Reconstruction of a full-thickness defect of the chest wall caused by friction burn using a combined myocutaneous flap of teres major and latissimus dorsi muscles.
This report describes the therapeutic course of a case of deep burns caused by friction heat generated over a long contact time by a rotating tractor wheel. The burn was accompanied by a full-thickness defect of the chest wall, which we treated with a combined myocutaneous flap of teres major and latissimus dorsi muscles with a large skin flap. Our therapeutic concept of this case is discussed. Based on the postoperative course of this case, we think a combined myocutaneous flap of teres major and latissimus dorsi muscles with two nourishing vessels as an alternative is a very useful, safe, and secure method for the treatment of cases with axillary damages which require one-stage and stable reconstruction, like our patient.
Ono
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I
Division of Plastic and Reconstructive Surgery, Department of Dermatology, Fukushima Medical University School of Medicine, Hikarigaoka-1, 960-1295, Fukushima, Japan. ichiro@fmu.ac.jp
Tateshita
T
T
D000062:Accidents, Occupational; D000368:Aged; D002056:Burns / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D017276:Friction; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D013898:Thoracic Injuries / Q000601:surgery*