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KMID : 1143020210260010063
Archives of Hand and Microsurgery
2021 Volume.26 No. 1 p.63 ~ p.67
Propeller Dorsal Intercostal Artery Perforator Flap for an Extensive Defect on the Back Following Malignant Peripheral Nerve Sheath Tumor Resection: A Case Report
Song Seung-Han

Kim Sun-Je
Kwon Hyeok-Dong
Kim Joo-Hak
Kyung Hyun-Woo
Oh Sang-Ha
Yang Ho-Jik
Ha Yoo-Seok
Abstract
Posterior trunk defects have been a challenging anatomical area to cover in reconstructive surgery. The use of local myocutaneous flaps has been described extensively in the literature to cover these defects, but these techniques are associated with significant donor-site morbidity, including functional loss of muscle units. Freestyle perforator flaps enable local tissue recruitment with skin of a similar color and texture in diverse anatomic areas, but there is a shortage of case series on posterior trunk defects using propeller dorsal intercostal artery perforator (DICAP) flaps, particularly when the defects are extensive. In this report, the authors present a successful case of a DICAP propeller flap for an extensive defect on the upper back following a malignant peripheral nerve sheath tumor resection.
KEYWORD
Perforator flap, Neoplasms, Reconstructive surgical procedures
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