simsek, tekin ondokuz mayis university - faculty of medicine - department of plastic, reconstructive and aesthetic surgery, Turkey , engin, murat sinan ondokuz mayis university - faculty of medicine - department of plastic, reconstructive and aesthetic surgery, Turkey , guneren, ethem bezmialem vakif university - faculty of medicine - department of plastic, reconstructive and aesthetic surgery, Turkey , aksakal, ibrahim alper medical park hospital - clinic of plastic, reconstructive and aesthetic surgery, Turkey

A social stigma as a favorable reconstructive option: Implications on donor site selection

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Self mutilation poses a stigmatizing concern for a repentant patient and yield to social eschewing. Many of them undergo surgery for treatment of such scars. In this report, we present a case in whom we elected a self mutilation scar bearing dorsal surface of the forearm as a flap donor site for resurfacing a defect on the back of the first web space. Patient had been referred hand injury by shotgun. While that particular flap (posterior interosseous flap) is not our first choice in such cases, in the face of this preexisting condition we stepped out of our comfort zone for the sake of treating both conditions in one sitting. We think that if a patient with stigmatizing scars presents in need of surgical reconstruction, scarred sites should be chosen as donor sites whenever possible. Therefore, when the hand defects reconstructed, simultaneously, an acceptable single longitudinal scar can be leaved on the forearm instead unpleasant transvers scars.

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Hand defect , Posterior interosseous flap , Self , mutilation , Social stigmata

Journal Of Experimental an‎d Clinical Medicine

246