Abstract
Tuberculosis remains a major global health problem and persistent lymphadenitis or incorrect treatment may result in sinus formation. We present a case of a large anterior neck sinus caused by tuberculous lymphadenitis. We designed an anterolateral thigh myocutaneous flap with 6 × 5 cm of skin and 10 × 7 cm of muscle for the reconstruction of the large sinus. The descending branch of the lateral circumflex femoral artery and 2 venae comitantes were anastomosed with superior thyroid arteries and two anterior neck veins. The patient experienced complete survival of the flap and did not complain of any discomfort. The donor site healed well, and weakness of the lower limb was absent. In conclusion, an anterolateral thigh myocutaneous flap is a good choice for the reconstruction of a neck sinus caused by tuberculous lymphadenitis.
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This work was funded by grants from the National Natural Science Foundation of China (81801925).
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Hu Jiao wrote the manuscript. Liqiang Liu, Chen Gan, Hu Jiao, Tiran Zhang and Jincai Fan performed the surgery. Li Liu performed the CT test.
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The large anterior neck sinus. The sinus was superior to the suprasternal notch, and a strong pulse was visible. (WMV 1350 kb)
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The water filling test. The sinus volume was measured by a water filling test, and the result showed that the volume was 50 ml. (WMV 2119 kb)
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Jiao, H., Liu, L., Gan, C. et al. Anterolateral Thigh Myocutaneous Flap for Reconstruction of a Large Anterior Neck Sinus Caused by Tuberculous Lymphadenitis: a Case Report. SN Compr. Clin. Med. 2, 249–252 (2020). https://doi.org/10.1007/s42399-019-00152-8
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DOI: https://doi.org/10.1007/s42399-019-00152-8