CC BY-NC-ND 4.0 · Indian J Plast Surg 2011; 44(03): 448-452
DOI: 10.1055/s-0039-1699518
Original Article
Association of Plastic Surgeons of India

The ‘reading man flap’ for pressure sore reconstruction

Stamatis Sapountzis
1  Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Republic of Korea
,
Hyoung Joon Park
Department of Plastic and Reconstructive Surgery, KonKuk University Medical Center, Republic of Korea
,
Ji Hoon Kim
1  Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Republic of Korea
,
Achilleas Chantes
2  Plastic Surgeon, 54623, Thessaloniki, Greece
,
Rong Min Beak
1  Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Republic of Korea
,
Chan Yeong Heo
1  Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Republic of Korea
› Author Affiliations
Further Information

Publication History

Publication Date:
31 December 2019 (online)

ABSTRACT

Background: The treatment of pressure sores represents a significant challenge to health care professionals. Although, pressure wound management demands a multidisciplinary approach, soft tissue defects requiring reconstruction are often considered for surgical management. Myocutaneous and fasciocutaneous flaps can provide stable coverage of pressure sores. Purpose: Here, we describe our experience using a recent fasciocutaneous flap, which is named ‘reading man’ flap, in sacral, ischial, and trochanteric pressure sores. Materials and Methods: During a period of 1 year the authors operated 16 patients, 11 men, and 5 women, using the reading man flap. The ages of the patients ranged from 24 to 78 years. The location of pressure sores was 8 sacral, 5 ischial, and 3 trochanteric pressure sores. The mean size of pressure sores was 8 cm × 9 cm. Results: All pressure sores covered bt the Reading Man flap healed asymptomatically. After follow-up of 2-8 months, no recurrences were encountered and no further surgical intervention was required. Conclusion: The reading man flap was found to be a useful technique for the closure of pressure sore in different anatomic locations. The advantage of tension-free closure and the minimal additional healthy skin excision made this flap a useful tool in pressure sore reconstructions.

 
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