Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap

We present a massive 25 cm x 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh-methylmethacrylate cement sandwich while soft tissue reconstruction was carried ou...

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Bibliographic Details
Main Authors: Tan Pearlie, Wong Chin-Ho, Koong Heng-Nung, Tan Bien-Keem
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2010-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2010;volume=43;issue=1;spage=88;epage=91;aulast=Tan
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Summary:We present a massive 25 cm x 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh-methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral-anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.
ISSN:0970-0358
1998-376X