Preexpanded Perforator Flaps in Children

Not Applicable

Completed

• Conditions: Contractures; Scars
• Interventions: Procedure: new technical intervention

• Registration Number: NCT01700595
• Lead Sponsor: Istanbul University

Brief Summary

Contractures and broad scars of the axilla, anterior chest wall and neck have detrimental effects on functional, physical and psychological development of children. Perforator flaps have already been shown to be reliable options for the reconstruction of contractures but there have been no reports demonstrating the value of preexpanded perforator flaps of dorsolateral trunk region in treatment of extensive contractures and scars of pediatric patients. The purpose of this study is to demonstrate these techniques by a case series formed of pediatric patients with broad scars and contractures of anterior chest wall, axilla, neck and breasts. Seven pediatric patients (mean age, 11,6 years) who were treated by preexpanded perforator flaps are presented. By this means, clinical experience on intercostal artery perforator (ICAP) flap, thoracodorsal artery perforator (TDAP) flap, circumflex scapular artery perforator (CSAP) flap and lumbar artery perforator flap was shared. Flaps as large as 20,5x10,5 cm in size could be successfully transferred in pediatric patients. Broad scar tissues were resurfaced with broad flaps carrying similar characteristics with the uninjured anterior chest wall and neck skin in six of our patients. In one patient with partial necrosis, full thickness skin graft was used for the residual defect. The mean duration of postoperative (after flap transfer) follow-ups was 17,2 months. The preexpanded TDAP, ICAP and CSAP flaps are revealed to be useful reconstructive options for the treatment of scars and contractures of anterior chest wall, axilla, neck and breast in pediatric patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-09
• Primary Completion: 2012-09
• Study Completion: 2012-09
• Status Verified: 2012-10
• Study First Submitted: 2012-10-01
• Study First Submitted QC: 2012-10-02
• Last Update Submitted: 2012-10-02
• Study First Posted: 2012-10-04
• Last Update Posted: 2012-10-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 7

Inclusion Criteria

• pediatric age group
• broad scars and contractures

Exclusion Criteria

• age over 18 years
• minimal scars and skin defects that could be treated by minor interventions

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
new technical intervention	new technical intervention	''new technical intervention'' represents the surgical procedure which is applied for the patients assigned to this group because of their certain characteristics. Namely, pediatric patients with broad axillary, anterior chest wall, mammary and neck scars are treated with this surgical approach.

Primary Outcome Measures

Name	Time	Method
Range of motion of the particular joint	at least three months after flap tarnsfer	Disruption of the contracture band and releasing the contracture of a particular joint results in achievement of the healthy range of motion of that joint.

Secondary Outcome Measures

Name	Time	Method
Replaced tissue dimensions	at least three months after the operation	Transferred flap sizes will be documented. It is a way of demonstrating the amount of replaced scar tissue and exhibiting the success of the technique.

Trial Locations

Locations (1)

Istanbul University, Istanbul Faculty of Medicine; 🇹🇷 Istanbul, Turkey