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A Case of Forearm Muscle Herniation after Radial Forearm Sensory Tendocutaneous Free Flap  

Lee, Paik Kwon (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Kim, Min Cheol (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Jun, Young Joon (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Oh, Deuk Young (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Rhie, Jong Won (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Ahn, Sang Tae (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Publication Information
Archives of Plastic Surgery / v.35, no.2, 2008 , pp. 205-207 More about this Journal
Abstract
Purpose: Although muscle hernia has been well described in the lower-extremity, muscle hernias in the upper extremity are extremely rare. As with lower extremity muscle hernias, the forearm muscle hernia may result from forced exertion of strenuous activity or following blunt trauma. The objective of this paper is to report an extraordinary case of forearm muscle hernia after radial forearm sensory tendocutaneous free flap with references. Methods: A 58-year-old male patient received wide excision and radical neck dissection and lower lip reconstruction with radial forearm sensory tendocutaneous free flap for squamous cell cancer on the lower lip. 16 weeks after the operation, he complained of protruding mass on the forearm and the size was increasing. In postoperative 18 weeks, MRI showed herniation of flexor digitorum superficialis. For unaesthetic cause and preventing progress, the authors performed direct fascial closure and Mesh graft. Results: In 12 months after the surgery there was no recurrence and the patient remained symptom-free. Conclusion: Pain on extremity exertion and unaesthetic buldge of forearm due to forearm muscle hernia were the primary indications for surgery which consist of direct closure, fasciotomy, fascia lata onlay graft, fascia lata inlay graft, etc. The authors experienced uncommon forearm muscle hernia after radial forearm free flap and satisfying result of treatment.
Keywords
Muscle hernia; Radial forearm free flap;
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