Background: Foreign body granuloma is a rare late complication of fascia lata graft donor site with few reported cases in the literature. It can mimic soft tissue sarcoma. Clinical and radiological findings may not be...Background: Foreign body granuloma is a rare late complication of fascia lata graft donor site with few reported cases in the literature. It can mimic soft tissue sarcoma. Clinical and radiological findings may not be enough to solve the puzzle and histology remains the mainstay of diagnosis. Aim: Our aim is to highlight the unusual long interval between initial surgery and presentation of foreign body granuloma. Case Presentation: A 65-year-old man who presented 48 years after initial surgery with progressive painless fascia lata donor site soft tissue swelling. The management and histology findings were highlighted. Conclusion: The occurrence of foreign body granuloma remains an important differential following a history of past surgical procedure regardless of the time interval between the surgical procedure and the clinical presentation.展开更多
Tensor fascia lata(TFL)flap is a versatile myofasciocutaneous flap.It has varied usages as both free and pedicled flap.As a pedicled flap,it is a good option for reconstructing soft tissue defects after tumor ablation...Tensor fascia lata(TFL)flap is a versatile myofasciocutaneous flap.It has varied usages as both free and pedicled flap.As a pedicled flap,it is a good option for reconstructing soft tissue defects after tumor ablation.The TFL perforator flap is a good alternative for anterolateral thigh(ALT)flap.The advantages of TFL flap are that dissection can be made through the same incision,without impairment of other donor sites.The reconstructive plan remains same as that of ALT flap.TFL flap offers a good volume of skin and can be made thin removing variable portions of muscle.The present case is a 63-year-old patient with a carcinoma penis who underwent left ilioinguinal block dissection resulting in a defect of 8 cm×8 cm in the left inguinal region.TFL flap was raised with U-shaped incision and used for closure of the defect with good result.展开更多
文摘Background: Foreign body granuloma is a rare late complication of fascia lata graft donor site with few reported cases in the literature. It can mimic soft tissue sarcoma. Clinical and radiological findings may not be enough to solve the puzzle and histology remains the mainstay of diagnosis. Aim: Our aim is to highlight the unusual long interval between initial surgery and presentation of foreign body granuloma. Case Presentation: A 65-year-old man who presented 48 years after initial surgery with progressive painless fascia lata donor site soft tissue swelling. The management and histology findings were highlighted. Conclusion: The occurrence of foreign body granuloma remains an important differential following a history of past surgical procedure regardless of the time interval between the surgical procedure and the clinical presentation.
文摘Tensor fascia lata(TFL)flap is a versatile myofasciocutaneous flap.It has varied usages as both free and pedicled flap.As a pedicled flap,it is a good option for reconstructing soft tissue defects after tumor ablation.The TFL perforator flap is a good alternative for anterolateral thigh(ALT)flap.The advantages of TFL flap are that dissection can be made through the same incision,without impairment of other donor sites.The reconstructive plan remains same as that of ALT flap.TFL flap offers a good volume of skin and can be made thin removing variable portions of muscle.The present case is a 63-year-old patient with a carcinoma penis who underwent left ilioinguinal block dissection resulting in a defect of 8 cm×8 cm in the left inguinal region.TFL flap was raised with U-shaped incision and used for closure of the defect with good result.
