Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect
A large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-o...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/914716 |
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| author | Jumpei Ono Akira Takeda Minekatsu Akimoto Akira Iyoda Yoshio Matsui Yukitoshi Satoh Eiju Uchinuma |
| author_facet | Jumpei Ono Akira Takeda Minekatsu Akimoto Akira Iyoda Yoshio Matsui Yukitoshi Satoh Eiju Uchinuma |
| author_sort | Jumpei Ono |
| collection | DOAJ |
| description | A large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-old man with a soft tissue tumor involving the left lateral chest wall. We performed an en block resection and skeletal reconstruction using a mesh, free tensor fascia lata (TFL) flap for soft tissue coverage. This procedure could be performed in one position. A fixed fascia lata of the flap was also useful for tight reconstruction with the mesh. We suggest that free TFL and/or anterior lateral thigh flap is a useful technique to reconstruct anterior to posterior lateral chest wall defects. |
| format | Article |
| id | doaj-art-90c797056beb4a828b769f2b46b7f6a8 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-90c797056beb4a828b769f2b46b7f6a82025-02-03T06:13:26ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/914716914716Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall DefectJumpei Ono0Akira Takeda1Minekatsu Akimoto2Akira Iyoda3Yoshio Matsui4Yukitoshi Satoh5Eiju Uchinuma6Department of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, JapanDepartment of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, JapanDepartment of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, JapanDepartment of Thoracic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, JapanDepartment of Thoracic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, JapanDepartment of Thoracic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, JapanDepartment of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, JapanA large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-old man with a soft tissue tumor involving the left lateral chest wall. We performed an en block resection and skeletal reconstruction using a mesh, free tensor fascia lata (TFL) flap for soft tissue coverage. This procedure could be performed in one position. A fixed fascia lata of the flap was also useful for tight reconstruction with the mesh. We suggest that free TFL and/or anterior lateral thigh flap is a useful technique to reconstruct anterior to posterior lateral chest wall defects.http://dx.doi.org/10.1155/2013/914716 |
| spellingShingle | Jumpei Ono Akira Takeda Minekatsu Akimoto Akira Iyoda Yoshio Matsui Yukitoshi Satoh Eiju Uchinuma Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect Case Reports in Medicine |
| title | Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect |
| title_full | Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect |
| title_fullStr | Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect |
| title_full_unstemmed | Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect |
| title_short | Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect |
| title_sort | free tensor fascia lata flap and synthetic mesh reconstruction for full thickness chest wall defect |
| url | http://dx.doi.org/10.1155/2013/914716 |
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