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J Korean Wound Management Soc > Volume 9(1); 2013 > Article
Journal of the Korean Wound Management Society 2013;9(1): 38-41.
둔두주름 V-Y 전진근막피부 피판술을 이용한 Fournier 괴사의 음낭재건예
윤정원ㆍ오득영ㆍ이중호ㆍ이종원ㆍ안상태
가톨릭대학교 의과대학 성형외과학교실
Scrotal Reconstruction Using Gluteal Fold V-Y Advancement Fasciocutaneous Flap in Fournier's Gangrene: A Case Report
Jeong Won Yoon, Deuk Young Oh, Jung Ho Lee, Jong Won Rhie, Sang Tae Ahn
Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
  Published online: 30 May 2013.
ABSTRACT
For successful treatment of Fournier's gangrene, wide debridement and antibiotics therapy are inevitable. After wide debridement, soft tissue defect of scrotal and perineal area can be a very challenging region for reconstruction by various flap. 39-year-old male had wide scrotal and perineal soft tissue defect and penile shaft skin defect developed by Fournier's gangrene after dorsal neurectomy for treatment of premature ejaculation. We planned gluteal fold V-Y advancement fasciocutaneous flap for scrotal and perineal soft tissue defect and split-thickness skin graft for penile shaft skin defect. Flap and skin graft survived completely with aesthetically tolerable donor site scar concealed by gluteal fold. we can also preserve sensation similar with donor site. This flap can provide thin, similar color and texture, reliable blood supply, preservation of sensory and aesthetically tolerable scar. And also we can perform easily and closure under a minimal tension, so that ambulation is not limited. (J Korean Wound Management Soc 2013;9:38-41)
Key Words: Fournier's gangrene, Scrotum, Surgical flaps, Reconstructive surgical procedures
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