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Free flap reconstruction of extensive defects following resection of large neurofibromatosis.

Authors :
Uygur F
Chang DW
Crosby MA
Skoracki RJ
Robb GL
Source :
Annals of plastic surgery [Ann Plast Surg] 2011 Oct; Vol. 67 (4), pp. 376-81.
Publication Year :
2011

Abstract

Background: Neurofibromatosis type 1 (NF-1) is a locally invasive tumor that can grow extensively with diffuse infiltration into surrounding tissue. Resecting a large neurofibroma can result in an extensive defect that is difficult to reconstruct and can cause both aesthetic and functional deformities.<br />Methods: From 2000 to 2010, 5 patients with NF-1 underwent radical resection and immediate reconstruction with 6 free flaps at our institution. All patients presented with recurrent tumor, and involved head and neck region in 4 and foot in 1 patient. Ages ranged from 18 to 75 years. The follow-up ranged from 1 to 94 months.<br />Results: Defect sizes ranged from 84 to 252 cm. A single free flap was used in 4 cases and 2 free flaps were used in 1 case. All the flaps survived. Complications included loss of skin graft, necrosis of the distal tip of a flap, and wound dehiscence. All complications were successfully managed with minor surgical procedures.<br />Conclusion: Immediate reconstruction using a free flap after resecting a large neurofibroma is a safe and reliable method that facilitates radical resection of the tumors that are difficult to resect and that may result in an extensive defect.

Details

Language :
English
ISSN :
1536-3708
Volume :
67
Issue :
4
Database :
MEDLINE
Journal :
Annals of plastic surgery
Publication Type :
Academic Journal
Accession number :
21587052
Full Text :
https://doi.org/10.1097/SAP.0b013e3182085b13