Reverse latissimus dorsi musculocutaneous flap for reconstruction of lumbar radiation ulcer.
The surgical treatment of large, deep defects on the midline of the lower back or lumbar area comprises difficult reconstructive challenges. Various flaps have been designed to reconstruct the defect area. We herein report a 70-year-old Japanese woman with a large, deep ulcer in the midline of the lower back, caused by postoperative radiation therapy for eccrine porocarcinoma. The ulcer was successfully treated with surgical debridement followed by reverse latissimus dorsi musculocutaneous flap. This flap is reliable and useful for reconstruction of a large, deep midline defect of the lower back, having large and bulky tissue with a sufficient blood supply.
Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan. smotegi@showa.gunma-u.ac.jp
Sei-ichiro
S
Motegi
Atsushi
A
Tamura
Marie
M
Abe
Etsuko
E
Okada
Yayoi
Y
Nagai
Osamu
O
Ishikawa
D000368:Aged; D002277:Carcinoma / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D006801:Humans; D008161:Lumbosacral Region / Q000601:surgery; D011832:Radiation Injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin / Q000528:radiation effects*; D016038:Skin Transplantation; D013524:Surgical Flaps; D013544:Sweat Gland Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D014456:Ulcer / Q000209:etiology / Q000382:microbiology / Q000601:surgery*