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...

Full description

Saved in:
Bibliographic Details
Main Authors: Pearlie W. W. Tan, Chin-Ho Wong, Heng-Nung Koong, Bien-Keem Tan
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.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699411
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849737175773478912
author Pearlie W. W. Tan
Chin-Ho Wong
Heng-Nung Koong
Bien-Keem Tan
author_facet Pearlie W. W. Tan
Chin-Ho Wong
Heng-Nung Koong
Bien-Keem Tan
author_sort Pearlie W. W. Tan
collection DOAJ
description 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.
format Article
id doaj-art-8cef238b18b44ff48b9aad71503b08b6
institution DOAJ
issn 0970-0358
1998-376X
language English
publishDate 2010-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-8cef238b18b44ff48b9aad71503b08b62025-08-20T03:07:01ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2010-01-01430108809110.1055/s-0039-1699411Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flapPearlie W. W. Tan0Chin-Ho Wong1Heng-Nung Koong2Bien-Keem Tan3Departments of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.Departments of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.Department of Surgical Oncology, National Cancer Center Singapore.Departments of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699411anterolateral thigh flapanteromedial thigh flapchest wall defectscombined free flap
spellingShingle Pearlie W. W. Tan
Chin-Ho Wong
Heng-Nung Koong
Bien-Keem Tan
Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap
Indian Journal of Plastic Surgery
anterolateral thigh flap
anteromedial thigh flap
chest wall defects
combined free flap
title Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap
title_full Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap
title_fullStr Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap
title_full_unstemmed Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap
title_short Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap
title_sort chest wall reconstruction using a combined musculocutaneous anterolateral anteromedial thigh flap
topic anterolateral thigh flap
anteromedial thigh flap
chest wall defects
combined free flap
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699411
work_keys_str_mv AT pearliewwtan chestwallreconstructionusingacombinedmusculocutaneousanterolateralanteromedialthighflap
AT chinhowong chestwallreconstructionusingacombinedmusculocutaneousanterolateralanteromedialthighflap
AT hengnungkoong chestwallreconstructionusingacombinedmusculocutaneousanterolateralanteromedialthighflap
AT bienkeemtan chestwallreconstructionusingacombinedmusculocutaneousanterolateralanteromedialthighflap