Use of Anterolateral Thigh Free Flap in the Treatment of a Sternal Keloid

• Autor(a) principal: Guedes, Tiago
• Data de Publicação: 2019
• Outros Autores: Coelho, Gustavo, Guimarães, João, Costa, Horácio
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10955
• topic: Free Tissue Flaps/transplantation; Keloid; Reconstructive Surgical Procedures; Sternum; Thigh; Coxa; Esterno; Procedimentos Cirúrgicos Reconstrutivos; Quelóide; Retalhos de Tecido Biológico/transplantação

Hypertrophic and keloid scars represent hyperproliferative disorders that can have a significant impact on patients’ lives. The authors present the case of a 53 years-old male with a sternal keloid after excision of a sebaceous cyst and multiple sessions of steroid infiltration, with worsening of the lesion. The patient underwent complete excision of the scar and reconstruction with an anterolateral thigh flap - ALT. The postoperative period was uneventful, with no signs of relapse. Keloid scar treatment in sternal area implies a reconstruction with no tension, in order to avoid relapse. Treatment of this type of scars is complex and a challenge to the plastic surgeon. In this case, a microvascular tissue transfer was used to reconstruct the large defect that ultimately resulted after scar excision, in a tension-free manner.