title: Surgical management of a giant condyloma of Buschke-Löwenstein in a patient with Netherton syndrome using the pedicled anterolateral thigh flap--a case report.
abstract: The surgical management of a giant condyloma of Buschke and Löwenstein poses particular reconstructive challenges, given the wound size, depth, and infection risk. We present a case where a pedicled anterolateral thigh flap is used to reconstruct a complex wound following resection of a giant condyloma of Buschke and Löwenstein arising in a patient with Netherton syndrome. Our operative technique re-iterates the utility of this flap in perineal reconstruction and demonstrates the possibility for an 18 cm wide arc of rotation. To our knowledge, this is the first report of a successful complex excision of a giant condyloma in Netherton syndrome, the subsequent reconstruction, and periodic maintenance with topical therapies.
authors.affiliation: Queen's University, 68 Barrie Street, Kingston, Ontario, Canada.
authors.forename: Adrienne L K
authors.initials: AL
authors.lastname: Li
authors.forename: Scott
authors.initials: S
authors.lastname: Walsh
authors.forename: Douglas R
authors.initials: DR
authors.lastname: McKay
mesh_terms: D000328:Adult; D003218:Condylomata Acuminata / Q000601:surgery*; D005260:Female; D006801:Humans; D056770:Netherton Syndrome / Q000150:complications*; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D013848:Thigh