Papers of The 6th Japan Scar Workshop

12. A Case of Burn Scar Contracture Reconstructed with an Anterolateral Thigh Flap

Kaho Matsuda, Fumiaki Shimizu, Miwako Oatari, Aiko Kato
Department of Plastic Surgery, Faculty of Medicine, Oita University, Oita, Japan

A 67-year-old woman presented with scar contracture on her pubic region at our clinic. The scar contracture extended from the pubic region to the bilateral groin region. She sustained a flame burn at the age of 9 years that led to the formation of the scar contracture. Scar excision for this contracture was performed. After revision of the scar, a large skin defect of 15 X 3 cm was formed. For this large defect, anterolateral thigh island flap transfer was performed. The flap was elevated with one perforator pedicle from her right thigh, and was turned 90 degree to the skin defect. The flap survived completely. Seven months after the surgery, there have been no recurrences and the patient is satisfied with the result.
Flap transfer is recognized as one of the most available methods for scar revision. Recently, the anterolateral thigh flap has become popular as a free flap. However, it can be used as an island flap and its use has been reported by many authors. Our case revealed that the anterolateral thigh island flap is useful for scar revision in the pubic to groin regions.
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