What is it about?
The case presented in our recent article is not a simple edge shoulder posterior adduction con-tracture, as it is a case of arm-thorax synechia, whichmeans that the contracture involves also the axillarydome, the medial side of the arm, and the lateral sideof the thorax.
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Why is it important?
Aiming at restoration of both form and function,we decided to proceed in a two-stage reconstruction with the use of tissue expansion. Tissue expansion is asafe and effective technique in reconstructing large defects with adjacent tissue of similar color and texture and minimal donor site morbidity, thus ensuring superior aesthetic results. At the second stage, the latissimus dorsi muscle flap provided safe coverage tothe skeletonized axillary neurovascular bundle, and concomitantly the axillary dome was reconstructed as an independent anatomic-aesthetic unit.
Perspectives
The technique ensured minimal postoperative immobilization of the axilla and early initiation of intensive rehabilitation regime. Consequently, the risk of contracture recurrence was minimal and an excellent functional and aesthetic outcome was achieved.
Dr Demosthenes E. Ziogas
Peripheral General Hospital of Ioannina - Xatzikosta
Read the Original
This page is a summary of: In Response: Tissue Expansion and Latissimus Dorsi Transfer for Arm Thorax Synechia (Reply), Journal of Burn Care & Research, November 2011, Oxford University Press (OUP),
DOI: 10.1097/bcr.0b013e31822dc5bf.
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