[[[ Background: ]]] Many patients who had childhood poliomyelitis are still suffering from the late sequalae of the condition. Free-flap harvesting from the paralytic limbs from these patients is a logical approach for functional preservation. However, concerns have been raised regarding its safety due to its hypoplastic vascular system and potential donor site healing problems. [[[ Case report: ]]] A 53-year-old man with known childhood poliomyelitis presented with left facial sarcoma. After wide excision, the defect was reconstructed with a dual-island fasciocutaneous-free anterolateral thigh flap harvested from his paralytic limb. The pedicle and perforators were found to be no different from those in normal limbs. His recovery was smooth without complications. [[[ Conclusions: ]]] On the basis of our experience and current evidence in the literature, we believe that free-flap harvesting from the paralytic lower limb in poliomyelitis patients is a safe option that incurs no additional risk and allows maximal function preservation.
Free-flap harvesting from paralytic limbs of poliomyelitis patients – A safe and feasible option
소아마비 환자의 마비된 팔다리에서의 자유 플랩 수술 - 안전하고 실행 가능한 선택지
[Category] 폴리오,
[Article Type] journal-article
[Source] pubmed
All Keywords