Reconstructive Strategy and Classification of Penoscrotal Defects - 25/10/14
Abstract |
Objective |
To classify defects in the penoscrotal region according to their specific anatomic sites.
Methods |
From January 2002 to December 2012, 20 male patients underwent reconstruction for penoscrotal defects. The causative factors were Fournier's gangrene in 12 patients, extramammary Paget's disease in 4, skin tumors in 3, and deformity after a burn injury in 1. The defects were categorized according to their anatomic location: penis (P), and right (r) and left (l) scrotum (Sr and Sl), inguinal area (Ir and Il), and perianal area (Ar and Al).
Results |
Seven patients with defects in the penis received skin grafts. Defects affecting more than 2 anatomic regions or extensive defects (>100 cm2) were reconstructed by free tissue transfer. Other defects were reconstructed by perforator-based island flap coverage. All of the flaps survived without complications.
Conclusion |
We introduce a classification that provides a simple way to specify the anatomic location and extent of a defect. This classification will permit more effective and straightforward reconstruction in the penoscrotal region.
Le texte complet de cet article est disponible en PDF.Plan
| Duk Kyun Ahna and Sang Wha Kim contributed equally to this article. |
|
| Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 84 - N° 5
P. 1217-1222 - novembre 2014 Retour au numéro
Article précédent
- Urethral Foreign Body: Removal of Degraded Magnetic Spheres Using Hartmann Ear Forceps
- Paul H. Chung, Janelle Traylor, Linda A. Baker
- Does Closure of the Buccal Mucosal Graft Bed Matter? Results From a Randomized Controlled Trial
- Eddy Wong, Ashani Fernando, Ammar Alhasso, Laurence Stewart
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?