THE INCREASING OF PEDICLED PROPELLER PERFORATOR FLAP SURVIVAL BY AN EXTRA VEIN ANASTOMOSIS

Lower extremity reconstruction is one of the challengingareas for reconstructive surgeons. The reliability of thevascularity of a perforator flap is important in reconstructive surgery. To increase flap viability and to preventvenous insufficiency we performed an extra vein anastomosis in pedicled propeller perforator flap concept.This letter presents the reconstruction of a tissuedefect after radical excision of an acute variant type ofMarjolin’s ulcer in the lower extremity using a superdrained propeller perforator flap.A 61 year old male was referred to dermatology outpatient clinic with a leg ulcer. Six months earlier, he had acar accident and two ulcers developed on his leg: one healedwithin a few weeks, while the other persisted. Initially, theulceration was deep. With time, the ulcer changed shape; thebase of the ulcer rose toward the surface and became wartlike in appearance. Clinically, there was a 3-cm diameter,yellow, verrucous, indurated mass on the right anterior tibia.A 4-mm punch biopsy was taken from the lesion. Thepatient’s history and histopathological findings led to a diagnosis of Marjolin’s ulcer. The patient underwent surgicaltreatment at the Department of Plastic Surgery


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