Copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2023; 11(31): 7562-7569
Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7562
Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7562
Measurement of combined flap thickness for reconstruction of decubitus ulcer using computed tomography
Eun Chan Kim, Jeong Do Park, Syeo-Young Wee, Se-Young Kim, Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Gyeonsangbuk-do, Gumi 39371, South Korea
Author contributions: Kim EC contributed to manuscript writing, visualization, and data collection; Park JD contributed to conceptualization, methodology, and analysis; Wee SY contributed to project administration; Kim SY contributed to manuscript review, editing, and supervision; All authors have read and approved the final manuscript.
Supported by Soonchunhyang Research Fund , No. 2023-0064 .
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Soonchunhyang University Hospital.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Se-Young Kim, MD, Doctor, Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, No. 1-Gongdan-ro 179, Gyeonsangbuk-do, Gumi 39371, South Korea. 111459@schmc.ac.kr
Received: August 31, 2023
Peer-review started: August 31, 2023
First decision: September 19, 2023
Revised: September 23, 2023
Accepted: October 26, 2023
Article in press: October 26, 2023
Published online: November 6, 2023
Peer-review started: August 31, 2023
First decision: September 19, 2023
Revised: September 23, 2023
Accepted: October 26, 2023
Article in press: October 26, 2023
Published online: November 6, 2023
Core Tip
Core Tip: In this study, we examined the use of combined fasciocutaneous and gluteus maximus muscle flaps to reconstruct grade IV decubitus ulcers in patients with paraplegia. Radiological evaluation was employed to measure flap thickness, and the combined flap approach was found to provide successful reconstruction, with only minor complications. The study revealed a slight reduction in flap thickness over time; however, adequate coverage was maintained. This combined flap method offers a valuable treatment option for challenging decubitus ulcers in patients with paraplegia, and addresses the issues of flap thickness and recurrence.