Eur J Plast Surg (2013) 36:731–732 DOI 10.1007/s00238-013-0828-1 LETTER TO THE EDITOR Florid hyperaemia arising in ALT free flaps harvested from old skin graft donor sites Kieran T. Power & Banan Osman & Kelvin Ramsey Received: 20 January 2013 /Accepted: 16 March 2013 /Published online: 19 April 2013 Springer-Verlag Berlin Heidelberg 2013 Sir, the flap. Only a small haematoma was found, not correlating We would like to highlight two cases of localized hyperaemia with the observed hyperaemia. arising in antero-lateral thigh (ALT) free flaps harvested from The hyperaemia intensified in the subsequent days particu- previously healed split thickness skin graft donor sites. The larly when the patient started to mobilise. It then regressed and vascular changes led to concerns about possible flap perfusion healed over a period of 3 weeks prior to commencement of compromise, with the increasing popularity of the ALT free radiotherapy (Fig. 2). flap, we thought it's important to document this phenomenon A 59-year-old gentleman presented for management of a and suggest possible aetiology. recurrent myxoinflammatory fibroblastic sarcoma of the A 52-year-old gentleman presented for management of right medial ankle. After definitive resection, a free ALT recurrent Merkel cell carcinoma arising from his left calf. flap
European Journal of Plastic Surgery – Springer Journals
Published: Nov 1, 2013
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