Use of a Myocutaneous Flap after Resection of a Large Lymphangioma

Kerst, Gunter; Niemeyer, C.; Hildebrandt, F.; Földi, E.; Uhl, Matthias; Brandis, M.; Horch, RE

doi:10.1055/s-2001-13795

Cited by 8 publications

(6 citation statements)

References 8 publications

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“…Preoperative sclerotherapy before resection of large lesions may increase the likelihood of clinical success and may also assist in minimizing intraoperative blood loss, particularly for large VMs. With large resections, complex flaps may be required to provide adequate tissue coverage and cosmetic reconstruction [23].…”

Section: Discussionmentioning

confidence: 99%

Vascular anomalies of the female external genitalia

Vogel

Alesbury

Burrows

et al. 2006

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Vascular anomalies of the female external genitalia

Vogel

Alesbury

Burrows

et al. 2006

Journal of Pediatric Surgery

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“…This is possibly due to the flap-to-host lymphatic regeneration, but the actual mechanism remains uncertain. 21,22 Reconstruction of perineal defects is often a challenge to the reconstructive surgeon. Several types of fasciocutaneous and myocutaneous flaps have also been used to cover perineogenital defects.…”

Section: Discussionmentioning

confidence: 99%

Expanding the Applications of the Pedicled Anterolateral Thigh and Vastus Lateralis Myocutaneous Flaps

Hsu¹,

Chien²,

Wang³

et al. 2012

Annals of Plastic Surgery

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We describe our experience in expanding the use of pedicled anterolateral thigh and vastus lateralis myocutaneous flaps. A total of 33 patients underwent 34 flaps between March 2003 and January 2012. The defects included 18 ischial, 3 trochanteric, 5 lower abdomen, 2 perineogenital, 1 groin, and 5 knee defects. There were 29 proximal pedicled (2 of which were preexpanded), 3 distal pedicled, and 2 propeller flaps. Complications included 1 total necrosis, 1 partial necrosis, 3 wound dehiscence in recipient site, 1 hematoma, and 1 donor-site dehiscence. The total flap survival rate was 94%. There were no donor-site morbidities except poor cosmesis in the skin-grafted sites. Pedicled anterolateral thigh flap is highly versatile with a wide arc of rotation. A proximal pedicled flap can be used for lower abdomen, perineogenital, ischial, and trochanteric defects and the distal pedicled or a propeller flap for knee and proximal lower leg defects.

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“…Wide resection, however, usually requires coverage with a skin graft (9,12,18). To improve aesthetic result, suction-assisted lipectomy (19) and flap reconstructions (7,20) have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…The disease presents as an abnormal collection of tiny lymphatic vesicles that grow in size and number over time (1). These lesions may occur anywhere on the body; previous case reports have described dermal lymphatic malformations of the tongue (2), vulva (3), penis (4), breast (5), axilla, mediastinum (6), abdominal wall and perianal region (7). Dermal lymphatic malformations can be challenging to treat.…”

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confidence: 99%

Surgical Management of a Dermal Lymphatic Malformation of the Lower Extremity

Schneider

Chen

Zurada

et al. 2008

Canadian Journal of Plastic Surgery

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Dermal lymphatic malformations are rare congenital hamartomas of superficial lymphatics characterized by high recurrence rates after excision. The standard therapy for a single lesion is surgical excision with wide margins, which reduces recurrence but can have a potentially unacceptable aesthetic outcome. A case of a 24-year-old woman with a 6 cm × 5 cm dermal lymphatic malformation on her right thigh, diagnosed by clinical history, physical examination, magnetic resonance imaging and pathological findings, is reported. The patient underwent wide local excision with split-thickness skin grafting. After pathological examination revealed negative margins, the patient underwent tissue expander placement and excision of the skin graft with primary closure. The lesion did not recur, and the patient achieved a satisfactory aesthetic result. The present case represents the first report of the use of tissue expanders to treat dermal lymphatic malformations in the lower extremity and demonstrates a safe, staged approach to successful treatment.

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Use of a Myocutaneous Flap after Resection of a Large Lymphangioma

Abstract: Due to the variability of lymphangiomas, an assessment by a multidisciplinary consultation is proposed. With respect to therapy, the use of a myocutaneous flap represents one of the therapeutic options for large cutaneous lymphangiomas.

Cited by 8 publications

References 8 publications

Vascular anomalies of the female external genitalia

Vascular anomalies of the female external genitalia

Expanding the Applications of the Pedicled Anterolateral Thigh and Vastus Lateralis Myocutaneous Flaps

Surgical Management of a Dermal Lymphatic Malformation of the Lower Extremity

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