Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia

Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia

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Introduction: Aplasia cutis congenita presents a reconstructive challenge.We report the use of a tube pedicle radial forearm flap for scalp resurfacing in a patient who previously had two failed free flaps.Case report: A young male read more patient with cutis aplasia presented with a large full thickness defect of his occiput.He had multiple episodes of recurrent infections and a history of numerous surgeries as a child including tissue expansions.As a young adult he had two failed free flap reconstructions.

A CT angiogram failed to demonstrate any adequate bloody supply to the scalp that would be suitable for another free tissue transfer.We successfully performed a tube pedicled flap from his forearm achieving good functional and aesthetic results.Conclusion: Originally descried by Filatov, the tube flexcon reverse osmosis water storage tank pedicle flaps remains a useful salvage option in the armamentarium of modern-day reconstruction.