Microsurgical Reconstruction in Pediatric Patients.
- Author:
Hee Chang AHN
;
Myung Gon JUN
;
Jeong Cheol KIM
- Publication Type:Original Article
- MeSH:
Adult;
Arm;
Child;
Congenital Abnormalities;
Female;
Fibula;
Follow-Up Studies;
Forearm;
Groin;
Hand;
Humans;
Leg;
Male;
Rectus Abdominis;
Superficial Back Muscles;
Tissue Donors;
Toes
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
1999;26(3):345-352
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Microsurgical reconstruction is necessary for children to correct severe trauma and congenital or acuqired deformity. The aim of this study was to evaluate whether or not microsurgical reconstruction is a safe and reliable operation in children and to analyze the differences of microsurgical reconstruction in children compared to adults. The study included 12 children who underwent 13 microsurgical reconstructions among a total of 251 cases of microsurgical reconstruction from May, 1986 to August, 1998. Their ages ranged from 24 months to 14 years and 8 months. There were 7 males and 6 females. The involved sites were 9 legs, 3 hands and 1 face. The causes of microsurgical reconstruction were 9 traumas, 2 congenital anomalies, 1 acquired deformity and 1 cancer. The applied flaps were 4 scapular flaps, 2 rectus abdominis muscle flaps, 1 de-epithelized groin flap, 1 lateral arm flap, 1 forearm tendocutaneous flap, 1 forearm tendocutaneous flap, 1 latissimus dorsi muscle flap, 1 fibula flap, 1 second toe transfer, and 1 wrap-around flap. All patients have had normal growth of the donor and recipient sites without specific complications during an average 2 years follow-up. We concluded that microvascular reconstruction is a very useful and reliable procedure in children if it is performed in consideration of each child's specific characteristics and conditions.
