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Mustakim KR, Sodnom-Ish B, Lee HJ, et al. Chronic Expanding Hematoma on Latissimus Dorsi Free Flap Donor Site Grown Over 17 Years. J Craniofac Surg. 2021;doi: 10.1097/SCS.0000000000008078.
Mustakim, K. R., Sodnom-Ish, B., Lee, H. J., Yoon, H. J., & Kim, S. M. (2021). Chronic Expanding Hematoma on Latissimus Dorsi Free Flap Donor Site Grown Over 17 Years. The Journal of craniofacial surgery, . https://doi.org/10.1097/SCS.0000000000008078
Mustakim, Kezia Rachellea, et al. "Chronic Expanding Hematoma on Latissimus Dorsi Free Flap Donor Site Grown Over 17 Years." The Journal of craniofacial surgery vol. (2021). doi: https://doi.org/10.1097/SCS.0000000000008078
Mustakim KR, Sodnom-Ish B, Lee HJ, Yoon HJ, Kim SM. Chronic Expanding Hematoma on Latissimus Dorsi Free Flap Donor Site Grown Over 17 Years. J Craniofac Surg. 2021 Aug 09; doi: 10.1097/SCS.0000000000008078. Epub 2021 Aug 09. PMID: 34374672.
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J Craniofac Surg. 2021 Aug 09; doi: 10.1097/SCS.0000000000008078. Epub 2021 Aug 09.

Chronic Expanding Hematoma on Latissimus Dorsi Free Flap Donor Site Grown Over 17 Years.

The Journal of craniofacial surgery

Kezia Rachellea Mustakim, Buyanbileg Sodnom-Ish, Hyun Jong Lee, Hye-Jung Yoon, Soung Min Kim

Affiliations

  1. Department of Oral and Maxillofacial Surgery Department of Oral Pathology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana.

PMID: 34374672 DOI: 10.1097/SCS.0000000000008078

Abstract

ABSTRACT: The latissimus dorsi free flap (LDFF), that provides long vascular pedicle with rich vascularization and adequate bulk for maxillofacial defect coverage, is utilized in microvascular surgery for maxilla-mandibular reconstruction with high success rate, less morbidity, and ability to provide facial symmetry. In addition, it can reduce the risk of adjuvant therapies, such as radiotherapy. Seroma formation at the donor site following LDFF harvest has been reported as a common postoperative sequela. On the other hand, chronic expanding hematoma (CEH) in an LDFF donor site is a rare postoperative complication. In this case report, the authors describe a rare occurrence of a solidified CEH on an LDFF donor site in a male patient 17 years after mandible reconstruction surgery. For treatment, the patient underwent mass resection with drain placement and quilting suture, resulting in reduction of the hematoma and faster healing.

Copyright © 2021 by Mutaz B. Habal, MD.

Conflict of interest statement

The authors report no conflicts of interest.

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