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Free latissimus dorsi flap for upper extremity reconstruction in a 9-month-old
Ryan D Wagner1, Jacqueline S Yang1, Brittany E Bryant1
1Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Insights
Free tissue transfer in infants is challenging due to anesthetic risks. This study details a successful latissimus dorsi flap reconstruction in a 9-month-old infant with a congenital limb lesion.
Area of Science:
- Microsurgery
- Pediatric Plastic Surgery
- Congenital Malformations
Background:
- Free tissue transfer is established in pediatric patients but underrepresented in infants.
- Infants present unique surgical challenges, including risks from prolonged anesthesia.
- Congenital upper extremity lesions can threaten limb development, necessitating reconstructive interventions.
Abstract:
Successful outcomes for free tissue transfer are well-documented in pediatric patients but less so in infants. Challenges with infants are unique and include implications of prolonged anesthetic exposure. We present a 9-month-old female who underwent a free latissimus dorsi flap to reconstruct a congenital upper extremity lesion threatening limb development.
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