Rodríguez-Vega A, Sánchez-Medina MT, Lima-Sánchez J, García-Duque O, Fernández-Palacios J

Language: Spanish
References: 12
Page: 522-526
PDF size: 479.64 Kb.

ABSTRACT

Background: carbuncles are acute, deep and necrotizing infections of several hair follicles. Most cases are caused by Staphilococcus aureus. It usually requires only medical treatment, but in some cases surgical debridement is necessary. Surgical debridement may cause large defects that require reconstruction.
Clinical case:we report a case of an 80 year-old patient who came to our Emergency room with a large inflammatory plaque on the back of the neck that required surgical debridement and delayed reconstruction with an extended vertical myocutaneous trapezius flap.
Discussion: the extended vertical myocutaneous trapezius flap is highly useful in head and neck reconstruction. It is large, reliable, thin and pliable, with minimal morbidity in the donor region. It is a better option than the use of grafts or other myocutaneous flaps, such as the latissimus dorsi flap.
Conclusions: the extended vertical myocutaneous trapezius flap can be very extensive. It is easy to perform, reliable and results in minimal morbidity in the donor region. We consider it the first choice for reconstruction of large defects on the posterior neck region.

REFERENCES

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