J Korean Soc Traumatol.  2010 Dec;23(2):157-162.

Reconstruction of Soft Tissue Defect with Free Flap in Pediatric Patients

Affiliations
  • 1Department of Plastic and Reconstructie Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. joonphong@amc.seoul.kr

Abstract

PURPOSE
Free flap reconstruction in the pediatric population is difficult. However, microsurgery has had remarkable success rates in children. The aim of study is to present our clinical experience using free flap for reconstruction of soft tissue defects in children and to describe long-term follow-up results.
METHODS
Between June 2002 and July 2010, 30 cases of pediatric reconstruction were performed with free flap. The authors analyzed several items, such as the kind of flap, associated complications, and growth problems.
RESULTS
Among the 30 cases, 21 cases were due to traffic accidents, 5 to cancer, and 4 to falls and other soft tissue defects. The lower leg and foot were the most common sites of the lesion. In the free flap operations we have done, 20 cases involved an anterolateral thigh perforator free flap, 6 a superficial circumflex iliac perforator free flap, and 4 an upper medial thigh perforator free flap. In early postoperative complications, partial necrosis was seen in 2 cases, infection in 1 case, and the hematoma in 1 case. A satisfactory success rate and functional results were achieved.
CONCLUSION
Free flap reconstruction in children allows satisfactory function with no significant effect on growth. Free flaps are regarded as the primary choice for selective pediatric reconstructive cases.

Keyword

Free flap reconstruction; Pediatric reconstruction; Microsurgery

MeSH Terms

Accidents, Traffic
Child
Follow-Up Studies
Foot
Free Tissue Flaps
Hematoma
Humans
Leg
Microsurgery
Necrosis
Postoperative Complications
Thigh
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