Thermic lesions of the neck, the shoulder, and the thoracic wall in young children are characterized by identical etiology, pathology, and prognosis. Scald injuries from hot liquids cause deep second-degree up to superficial third-degree burns. In these injuries the subcutaneously located mammary gland is not affected. Therefore, the severe deformities that may occur in puberty are only defects of the soft tissue coverage and not of the mammary glands. Radical scar excision and skin grafting is the therapy of choice. Z-plasty and local flaps may correct these burn defects only partially because the loss of tissue is compensated only by a new distribution of the adjacent skin areas.
Zusammenfassung. Bislang
Free Latissimus Dorsi Transfer in Extensive Soft-Tissue Defects of the Lower LegSummary. The large amount of tissue available and the long vascular pedicle commend the m. latissimus dorsi as the first choice for free-tissue transfer in extensive tissue defects with critical vascular supply of the recipient area. The muscle may be transferred as a free muscle with a skin graft or as a musculocutaneous flap with deficit-fitted skin islands. Based on our experience with 83 free-tissue transfers, we present the operative procedure and the results in patients with extensive tissue defects after trauma, burns, ostitis, and tumor. Flapdesign variations are presented according to the different branches of the vascular pedicle.
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