Freie fasziokutane Paraskapularlappenplastik

Sachs, C.; Lehnhardt, Marcus; Daigeler, Adrien; Goertz, Ole

doi:10.1007/s00113-014-2686-0

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…The patient is shown 5 years after surgery and post-OP radiation therapy with an excellent functional result. The parascapular flap delivers sufficient pliable soft tissue coverage avoiding functional impairment of shoulder movement ( 53 – 55 ).…”

Section: Case Demonstrationsmentioning

confidence: 99%

Soft Tissue Sarcomas of the Arm – Oncosurgical and Reconstructive Principles within a Multimodal, Interdisciplinary Setting

2016

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Soft tissue sarcomas of the upper extremity represent a severe threat for the patient and a difficult task for the treatment team. Due to the complex anatomy of the arm, most sarcomas involve valuable functional structures. Nonetheless, a large portion of the patients can be treated in a limb-sparing manner, and surgery is the mainstay of local tumor control. This review gives an overview of the disease entities and their epidemiology, on necessary patient work-up, staging, and imaging modalities, as well as the importance of interdisciplinary decision-making. The surgical therapies and principles of tumor excision are outlined, as well as reconstructive options. Furthermore, adjuvant treatments are discussed with a special focus on the various application techniques for radiation therapy. In spite of established treatment algorithms, each case is an individual challenge and individually tailored therapy is required. This aspect is illustrated by presenting three comprehensive cases demonstrating useful strategies. A summary of the relevant literature is given.

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Section: Case Demonstrationsmentioning

confidence: 99%

Soft Tissue Sarcomas of the Arm – Oncosurgical and Reconstructive Principles within a Multimodal, Interdisciplinary Setting

2016

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“…Based on the same vascular tree, the (para-) scapular flap can be raised as a fascio-cutaneous flap that carries little bulk and sufficient pedicle length ( 13 ). Due to their common vascular tree, both the (para-)scapular and the latissimus flap can be harvested together, thus allowing for even larger defects to be covered.…”

Section: Soft-tissue Reconstructionmentioning

confidence: 99%

Microsurgical Reconstruction of Extensive Oncological Scalp Defects

et al. 2015

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Although most small to medium defects of the scalp can be covered by local flaps, large defects or complicating factors, such as a history of radiotherapy, often require a microsurgical reconstruction. Several factors need to be considered in such procedures. A sufficient preoperative planning is based on adequate imaging of the malignancy and a multi-disciplinary concept. Several flaps are available for such reconstructions, of which the latissimus dorsi and anterior-lateral thigh flaps are the most commonly used ones. In very large defects, combined flaps, such as a parascapular/latissimus dorsi flaps, can be highly useful or necessary. The most commonly used recipient vessels for microsurgical scalp reconstructions are the superficial temporal vessels, but various other feasible choices exist. If the concomitant veins are not sufficient, the jugular veins represent a safe back-up alternative but require a vessel interposition or long pedicle. Post-operative care and patient positioning can be difficult in these patients but can be facilitated by various devices. Overall, microsurgical reconstruction of large scalp defects is a feasible undertaking if the mentioned key factors are taken into account.

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