title: Double pedicled perforator flap to close flank defects: an alternative for closure of a large lumbar defect after basalioma excision--a case report and review of the literature.
abstract: Large defects following resection of skin cancers are sometimes a challenge for the reconstructive surgeon. Although skin grafts are considered as the first choice for reconstruction of large skin defects at the trunk region, pedicled or free flaps provide sometimes a superior functional and aesthetic outcome. Perforator flaps represent a valuable option for these patients. The progress in understanding the perforator vessel system of the body facilitated the development of a plethora of novel pedicled flaps which could be transferred over long distances with minimal donor site morbidity. We present a patient suffering from a large exulcerated basalioma at the lumbar region. The skin defect after excision was reconstructed using a novel concept based on 2 independent pedicled perforator flaps, a lumbar artery perforator, and a lateral intercostal artery perforator.
authors.affiliation: Department of Plastic and Hand Surgery, University of Erlangen Medical Center, Erlangen, Germany.
authors.forename: Gunther
authors.initials: G
authors.lastname: Arco
authors.forename: Raymund E
authors.initials: RE
authors.lastname: Horch
authors.forename: Andreas
authors.initials: A
authors.lastname: Arkudas
authors.forename: Adrian
authors.initials: A
authors.lastname: Dragu
authors.forename: Alexander D
authors.initials: AD
authors.lastname: Bach
authors.forename: Ulrich
authors.initials: U
authors.lastname: Kneser
mesh_terms: D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D015626:Tissue Expansion / Q000379:methods; D020858:Tissue and Organ Harvesting; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology