Latissimus dorsi free flap reconstruction of a temporal defect following pediatric oncologic surgery: Case report + literature review - 10/01/24
, Vincent Sounthakith a, b, Arnaud Picard a, b, Vincent Couloigner b, c, Philippe Drabent b, d, Jean-François Honart e, Camille Cordero f, Daniel Orbach fHighlights |
• | Primary surgical management allows irradiation to be reserved for salvage purposes, except for advanced-stage RMS, incomplete resection, parameningeal localization and alveolar RMS, regardless of the quality of resection. |
• | Improvement in microsurgical techniques give surgery a major place in pediatric rhabdomyosarcoma therapeutic approach. |
• | Plastic surgery for reconstruction of cervicofacial lesions in children offers a major advantage of allowing better socio-psychological integration and should be considered whenever is possible. |
Abstract |
Introduction |
Rhabdomyosarcoma (RMS) is the most common soft-tissue sarcoma in children and adolescents. Around 35 % of pediatric sarcomas occur in the head and neck region. Consequently, RMS is considered the most common type of childhood malignancy diagnosed in this region.
Observation |
We report the clinical case of a 6 years old patient, who presented a large temporal hollowing following oncological excision surgery for temporal rhabdomyosarcoma. He underwent surgical reconstruction to fill the right temporalis fossa using a latissimus dorsi muscle free flap micro-anastomosed to the lingual vessels.
Discussion |
This clinical case highlights the value of plastic surgery in oncological reconstruction, which, combined with a multidisciplinary and collective approach, enables a holistic approach and facilitates socio-psychological integration after oncological surgery in the pediatric population.
El texto completo de este artículo está disponible en PDF.Keywords : Rhabdosarcoma, Pediatric oncology, Free flap
Esquema
Vol 125 - N° 5
Artículo 101704- octobre 2024 Regresar al número
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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