Title

Precautions in Using a Perforator Free Flap to Treat Mandibuloacral Dysplasia -- A Case Report.

Publication/Presentation Date

5-1-2014

Abstract

Mandibuloacral dysplasia (MAD) is a rare form of inherited lipodystrophy. The type B pattern is characterized by a generalized absence of subcutaneous tissues. There is also a deficiency of perivascular adiposity that makes the dissection not only of perforators and their source vessels difficult, but the recipient site vasculature as well. Perforator flaps in the MAD patient by definition will never be bulky, and instead a challenge in every respect as the perforators are extremely diminutive and therefore fragile. However, if a large, thin flap with a long pedicle of reasonable caliber is indicated, the attributes of a perforator flap may still be indicated as demonstrated in this case report for a recalcitrant heel pressure sore that had failed the usual conservative medical treatment.

Volume

34

Issue

4

First Page

311

Last Page

313

ISSN

1098-2752

Disciplines

Other Medical Specialties | Surgery

PubMedID

24123119

Department(s)

Department of Surgery

Document Type

Article