Abstract
The lower back still remains a challenging area for a reconstructive surgeon, especially when it comes to a big defect. A 78-year-old man presented with a neglected basal cell carcinoma (BCC). He underwent excision of the lesion and reconstruction of the 18 × 10-cm defect with a lumbar perforator plus flap. His operation and final outcome are presented, and the possible options for reconstruction are discussed. The advantages of the rotational design, the axial blood supply, and the skin island preservation are reported, giving the lumbar perforator plus flap a definite role in a difficult area such as the lower back.
Level of Evidence: Level V, therapeutic study.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kato H, Hasegawa M, Takada T, Torii S (1999) The lumbar artery perforator based island flap: anatomical study and case reports. Br J Plast Surg 52:541–546
Kiil BJ, Rozen WM, Pan WR (2009) The lumbar artery perforators: a cadaveric and clinical anatomical study. Plast Reconstr Surg 123(4):1229–1238
Suzuki S, Morimoto N, Yamawaki S, Fujitaka J, Kawai K (2013) A case of giant naevus followed up for 22 years after treatment with artificial dermis. J Plast Reconstr Aesthet Surg 66(8):e229–e233
Ahuja RB (1989) Mechanics of movement of rotation flaps and a local flap template. Plast Reconstr Surg 83:733–737
Kotti B, Jaidane O, Ben Hassouna J, Rahai K (2012) The ‘reverse’ latissimus dorsi flap for large lower lumbar defect. Case Rep Surg 964625
Katsaros J (1982) Use of tensor fasciae latae flap to cover a chest-wall defect. Plast Reconstr Surg 69:1007–1009
Sharma RK, Mehrota S, Nanda V (2005) The perforator ‘plus’ flap: a simple nomenclature for locoregional perforator-based flap. Plast Reconstr Surg 116:1838–1839
Sharma RK (2010) Perforator plus flap: evolution of the concept and its place in plastic surgeons repertoire. Indian J Plast Surg 43(2):148–150
Ethical standards
The study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. However, a formal consent from an ethics local committee is not required for this retrospective study.
Conflict of interest
Petros K. Spyiounis and Nikolaos I. Karmiris declare that they have no conflict of interest.
Patient consent
The patient has signed a consent form prior to his inclusion on the study. Patient provided written consent for the use of his images.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Spyiounis, P.K., Karmiris, N.I. Lumbar BCC removal and reconstruction with a perforator plus flap. Eur J Plast Surg 38, 503–506 (2015). https://doi.org/10.1007/s00238-015-1124-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-015-1124-z