ePlasty: Vol. 18
Expanded Latissimus Dorsi Myocutaneous Flap for Burn Scar Reconstruction
Angie Zhang, BA,a Amra Kuc, BS,a Lillian Tung, BS,a Kathryn S. King, MD,b and Deniz Dayicioglu, MDb

aUniversity of South Florida Morsani College of Medicine, Tampa; and bDepartment of Plastic Surgery, University of South Florida Morsani College of Medicine, Tampa


Correspondence: angiezhang@health.usf.edu
Keywords: pre-expanded latissimus dorsi myocutaneous flap, burns, burn scars reconstruction, neck scar contracture, upper extremity burn scar reconstruction

DESCRIPTION

A 41-year-old woman with a history of flame burns to her neck, chest, abdomen, and upper and lower extremities bilaterally presented to the clinic for reconstruction following bilateral mastectomy for breast cancer. She subsequently underwent excision of contractures on her neck and left upper extremity with reconstruction using bilateral pre-expanded latissimus dorsi (LD) myocutaneous flaps.

QUESTIONS

1. What is the pathophysiology behind the formation of burn scar contractures?

2. What are the options for reconstruction of neck contractures?

3. What are the options for reconstruction of upper extremity contractures?

4. What is the pre-expanded LD concept?