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pubmed-article:12968224rdf:typepubmed:Citationlld:pubmed
pubmed-article:12968224lifeskim:mentionsumls-concept:C0728836lld:lifeskim
pubmed-article:12968224lifeskim:mentionsumls-concept:C0224362lld:lifeskim
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pubmed-article:12968224pubmed:issue4lld:pubmed
pubmed-article:12968224pubmed:dateCreated2003-9-11lld:pubmed
pubmed-article:12968224pubmed:abstractTextFree tissue transplantation is nowadays regarded as an established method in reconstructive surgery - even in infants. Adequate diameters of vessels for microsurgical anastomosis have been shown in numerous studies. Especially the latissimus dorsi muscle seems to be ideal as a standard flap in this age group. The main disadvantage of this muscle flap lies in its donor-site morbidity with the risk of scar contracture and limitation of shoulder movement. A possible solution to this problem is the endoscopically-assisted harvest of this muscle. A three-year old boy sustained a subtotal amputation of his right heel with consecutive necrosis of soft-tissue. After debridement, a latissimus dorsi-muscle flap was transplanted to cover the defect. The flap was harvested endoscopically-assisted through a single, 2 cm long incision in the left axilla. Healing of the flap was uneventful. At 30 months follow-up the patient showed stable conditions at the right heel without limitations of movement and a hardly visible scar in the left axilla without any noticable growing impairment. Free microvascular muscle-flaps are the treatment of choice in infants with extensive traumatic defects. With the use of minimally invasive operation techniques it is possible to significantly reduce donor-site morbidity and increase therapeutic success even in the youngest patients.lld:pubmed
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pubmed-article:12968224pubmed:journalhttp://linkedlifedata.com/r...lld:pubmed
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pubmed-article:12968224pubmed:statusMEDLINElld:pubmed
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pubmed-article:12968224pubmed:issn0722-1819lld:pubmed
pubmed-article:12968224pubmed:authorpubmed-author:Piza-KatzerHHlld:pubmed
pubmed-article:12968224pubmed:authorpubmed-author:SchoellerTTlld:pubmed
pubmed-article:12968224pubmed:authorpubmed-author:Wechselberger...lld:pubmed
pubmed-article:12968224pubmed:authorpubmed-author:HuemerG MGMlld:pubmed
pubmed-article:12968224pubmed:authorpubmed-author:Otto-Schoelle...lld:pubmed
pubmed-article:12968224pubmed:issnTypePrintlld:pubmed
pubmed-article:12968224pubmed:volume35lld:pubmed
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pubmed-article:12968224pubmed:pagination259-62lld:pubmed
pubmed-article:12968224pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:12968224pubmed:meshHeadingpubmed-meshheading:12968224...lld:pubmed
pubmed-article:12968224pubmed:year2003lld:pubmed
pubmed-article:12968224pubmed:articleTitle[Endoscopically-assisted latissimus dorsi muscle harvest in a young child].lld:pubmed
pubmed-article:12968224pubmed:affiliationUniversitätsklinik für Plastische und Wiederherstellungschirurgie, Innsbruck, Osterreich. thomas.schoeller@uibk.ac.atlld:pubmed
pubmed-article:12968224pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:12968224pubmed:publicationTypeEnglish Abstractlld:pubmed
pubmed-article:12968224pubmed:publicationTypeCase Reportslld:pubmed