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Reconstruction of Major Scrotal Defects by Anterolateral Thigh Flap

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Abstract

To summarize the indications and applications of anterolateral thigh flaps (ALTP) in reparation and reconstruction of acute scrotum skin deficiency. We report our experience of treating three patients for scrotal reconstruction using the ALTP method from May of 2007 to December of 2010. The flap was completely islanded, tunneled beneath the fascial septa below the rectus femoris, and placed into the defect. The resulting reconstruction provided a tension-free, cosmetically appealing scrotum with complete testicular coverage. There were no perioperative or postoperative complications. Spermatogenesis (sperm count levels), and sexual function (IIEF) were not changed significantly. ALTP represent an excellent reconstruction option for patients with contaminated perineum. ALTP is available for replacement of the avulsed portion of the scrotal skin resulting in satisfactory shape and color of the penis and scrotum.

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Abbreviations

ALTP:

Anterolateral thigh flap

IIEF:

The international index of erectile function

STSG:

Split-thickness skin grafting

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Acknowledgments

This study was supported by National Natural Science Foundation (81070544), and the Excellenant Young University Teachers training fund of Shanghai education commission (JDY09056).

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Correspondence to Yueqing Jiang or Zhong Wang.

Additional information

Haijun Yao and Dachao Zheng contribute equally to this study.

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Yao, H., Zheng, D., Wen, J. et al. Reconstruction of Major Scrotal Defects by Anterolateral Thigh Flap. Cell Biochem Biophys 70, 1331–1335 (2014). https://doi.org/10.1007/s12013-014-0060-z

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  • DOI: https://doi.org/10.1007/s12013-014-0060-z

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