Novel use of a supraclavicular transverse cervical artery customised perforator flap: a paediatric emergency.

Hdl Handle:
http://hdl.handle.net/10147/316127
Title:
Novel use of a supraclavicular transverse cervical artery customised perforator flap: a paediatric emergency.
Authors:
Dolan, R T; O'Duffy, F; Seoighe, D M; Dias, A; Earley, M J; O'Dwyer, T
Affiliation:
Children's University Hospital Temple Street
Citation:
Novel use of a supraclavicular transverse cervical artery customised perforator flap: a paediatric emergency. 2013, 66 (8):1138-41 J Plast Reconstr Aesthet Surg
Journal:
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Issue Date:
Aug-2013
URI:
http://hdl.handle.net/10147/316127
DOI:
10.1016/j.bjps.2012.12.021
PubMed ID:
23394686
Abstract:
Perforation of the piriform fossa is a rare, potentially life-threatening paediatric emergency. Prompt diagnosis and early operative intervention is key to patient survival, yet restoring aerodigestive continuity can pose a significant reconstructive challenge. A seven-month old baby girl presented to an emergency department acutely unwell with a twenty-four-hour history of haemoptysis, cough and worsening respiratory distress. A contrast swallow demonstrated extension of contrast into the retropharyngeal region necessitating immediate surgical intervention. A 3.0 cm×1.0 cm perforation within the left posterolateral piriform fossa was identified. The defect was repaired with a supraclavicular transverse cervical artery customised perforator flap. This was inset into the piriform fossa luminal defect as a life-saving procedure. Following a stormy post-operative course, the child was discharged home on day 28 of admission and admitted electively 6 weeks later for division of flap pedicle. This case highlights the novel use of this fasciocutaneous island flap to reconstruct an extensive, potentially fatal, piriform fossa defect in an acute paediatric setting. This simple flap design offers timely mobilisation, reliable blood supply, adequate tenuity and surface area, to reconstruct this extensive defect as a life-saving intervention in a profoundly septic child.
Item Type:
Article
Language:
en
Keywords:
INFANT; SURGERY
MeSH:
Extravasation of Diagnostic and Therapeutic Materials; Female; Humans; Infant; Perforator Flap; Pyriform Sinus
ISSN:
1878-0539

Full metadata record

DC FieldValue Language
dc.contributor.authorDolan, R Ten_GB
dc.contributor.authorO'Duffy, Fen_GB
dc.contributor.authorSeoighe, D Men_GB
dc.contributor.authorDias, Aen_GB
dc.contributor.authorEarley, M Jen_GB
dc.contributor.authorO'Dwyer, Ten_GB
dc.date.accessioned2014-04-25T10:38:32Z-
dc.date.available2014-04-25T10:38:32Z-
dc.date.issued2013-08-
dc.identifier.citationNovel use of a supraclavicular transverse cervical artery customised perforator flap: a paediatric emergency. 2013, 66 (8):1138-41 J Plast Reconstr Aesthet Surgen_GB
dc.identifier.issn1878-0539-
dc.identifier.pmid23394686-
dc.identifier.doi10.1016/j.bjps.2012.12.021-
dc.identifier.urihttp://hdl.handle.net/10147/316127-
dc.description.abstractPerforation of the piriform fossa is a rare, potentially life-threatening paediatric emergency. Prompt diagnosis and early operative intervention is key to patient survival, yet restoring aerodigestive continuity can pose a significant reconstructive challenge. A seven-month old baby girl presented to an emergency department acutely unwell with a twenty-four-hour history of haemoptysis, cough and worsening respiratory distress. A contrast swallow demonstrated extension of contrast into the retropharyngeal region necessitating immediate surgical intervention. A 3.0 cm×1.0 cm perforation within the left posterolateral piriform fossa was identified. The defect was repaired with a supraclavicular transverse cervical artery customised perforator flap. This was inset into the piriform fossa luminal defect as a life-saving procedure. Following a stormy post-operative course, the child was discharged home on day 28 of admission and admitted electively 6 weeks later for division of flap pedicle. This case highlights the novel use of this fasciocutaneous island flap to reconstruct an extensive, potentially fatal, piriform fossa defect in an acute paediatric setting. This simple flap design offers timely mobilisation, reliable blood supply, adequate tenuity and surface area, to reconstruct this extensive defect as a life-saving intervention in a profoundly septic child.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Journal of plastic, reconstructive & aesthetic surgery : JPRASen_GB
dc.subjectINFANTen_GB
dc.subjectSURGERYen_GB
dc.subject.meshExtravasation of Diagnostic and Therapeutic Materials-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInfant-
dc.subject.meshPerforator Flap-
dc.subject.meshPyriform Sinus-
dc.titleNovel use of a supraclavicular transverse cervical artery customised perforator flap: a paediatric emergency.en_GB
dc.typeArticleen
dc.contributor.departmentChildren's University Hospital Temple Streeten_GB
dc.identifier.journalJournal of plastic, reconstructive & aesthetic surgery : JPRASen_GB
dc.description.fundingOtheren
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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