Use of Anterolateral Thigh Free Flap in the Treatment of a Sternal Keloid

Authors

  • Tiago Guedes Serviço de Cirurgia Plástica, Reconstrutiva, Craniomaxilofacial e Unidade de Microcirurgia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Porto.
  • Gustavo Coelho Serviço de Cirurgia Plástica, Reconstrutiva, Craniomaxilofacial e Unidade de Microcirurgia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Porto.
  • João Guimarães Serviço de Cirurgia Plástica, Reconstrutiva, Craniomaxilofacial e Unidade de Microcirurgia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Porto.
  • Horácio Costa Serviço de Cirurgia Plástica, Reconstrutiva, Craniomaxilofacial e Unidade de Microcirurgia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Porto.

DOI:

https://doi.org/10.20344/amp.10955

Keywords:

Free Tissue Flaps/transplantation, Keloid, Reconstructive Surgical Procedures, Sternum, Thigh

Abstract

Hypertrophic and keloid scars represent hyperproliferative disorders that can have a significant impact on patients’ lives. The authors present the case of a 53 years-old male with a sternal keloid after excision of a sebaceous cyst and multiple sessions of steroid infiltration, with worsening of the lesion. The patient underwent complete excision of the scar and reconstruction with an anterolateral thigh flap - ALT. The postoperative period was uneventful, with no signs of relapse. Keloid scar treatment in sternal area implies a reconstruction with no tension, in order to avoid relapse. Treatment of this type of scars is complex and a challenge to the plastic surgeon. In this case, a microvascular tissue transfer was used to reconstruct the large defect that ultimately resulted after scar excision, in a tension-free manner.

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Published

2019-12-02

How to Cite

1.
Guedes T, Coelho G, Guimarães J, Costa H. Use of Anterolateral Thigh Free Flap in the Treatment of a Sternal Keloid. Acta Med Port [Internet]. 2019 Dec. 2 [cited 2024 Mar. 29];32(12):784-7. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10955

Issue

Section

Case Report