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Free tissue transfer in pediatric patients

J M Serletti1, V A Schingo, M A Deuber

  • 1Strong Memorial Hospital, Rochester, NY 14642, USA.

Annals of Plastic Surgery
|June 1, 1996
PubMed
Summary

Free tissue transfer in pediatric patients is safe and effective for reconstructing soft-tissue defects. This study highlights successful outcomes in children, with minimal complications and preserved function, supporting its use in pediatric reconstructive surgery.

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Area of Science:

  • Reconstructive Surgery
  • Pediatric Plastic Surgery
  • Microsurgery

Background:

  • Free tissue transfer is predominantly reported in adult populations.
  • Pediatric applications of free tissue transfer are less documented.
  • Understanding outcomes in children is crucial for advancing reconstructive techniques.

Observation:

  • Twenty free tissue transfers were performed in 19 pediatric patients (ages 3-17).
  • Defects were primarily due to trauma (12) and tumor ablation (5), predominantly in lower extremities (16).
  • Common flaps included latissimus dorsi, radial forearm, and rectus abdominis.

Findings:

  • All free tissue transfers were successful, with one case of venous thrombosis successfully treated.
  • No significant morbidities or mortalities were observed.

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  • Sixteen of 17 lower extremity reconstructions showed normal growth, with no donor site functional losses.

    • Implications:

    • Free tissue transfer is a viable and safe option for pediatric reconstructive surgery.
    • Careful patient selection and surgical technique ensure excellent functional and aesthetic outcomes in children.
    • Further research into optimizing anticoagulation protocols for young children is warranted.