Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects
Abstract Background The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400–500 cm2. However, it is utilized less often than workhorse flaps such as the omental, pectoralis, rectus abdominis, and latissimus dorsi myocuta...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-10-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0708-4 |
| _version_ | 1818268780575326208 |
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| author | David Matera Richard Huynh Terrance Hanley Amir B. Behnam |
| author_facet | David Matera Richard Huynh Terrance Hanley Amir B. Behnam |
| author_sort | David Matera |
| collection | DOAJ |
| description | Abstract Background The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400–500 cm2. However, it is utilized less often than workhorse flaps such as the omental, pectoralis, rectus abdominis, and latissimus dorsi myocutaneous flaps as many plastic surgeons are not aware that the flap can cover larger areas than previously documented. Case presentation We report a 57-year-old female tobacco user who underwent a resection of a grade 3 breast angiosarcoma resulting in a high left chest wall soft tissue defect approximating 900 cm2. The patient underwent an external oblique myocutaneous pedicle flap reconstruction of the defect, most notably in anticipation of postoperative adjuvant radiation therapy. No gross flap complications and or patient impairment were noted. Thirteen months status post flap reconstruction, the patient underwent an aortic valve replacement requiring re-elevation of the same flap for exposure. The flap demonstrated excellent viability during the procedure and postoperatively. Conclusion The pedicled external oblique myocutaneous flap should be considered when reconstructing larger high chest wall defects when other more common flaps used in chest reconstruction may not be indicated. The external oblique myocutaneous flap is an excellent tool in the armamentarium of any reconstructive surgeon; it is a straightforward and versatile flap that can be safely and reliably used in durable reconstruction of defects of the chest wall and covers defects larger than previously described in the literature. |
| first_indexed | 2024-12-12T20:43:56Z |
| format | Article |
| id | doaj.art-8b37b4a7975e49379785b534dc36e4c5 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-12T20:43:56Z |
| publishDate | 2019-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-8b37b4a7975e49379785b534dc36e4c52022-12-22T00:12:38ZengSpringerOpenSurgical Case Reports2198-77932019-10-01511410.1186/s40792-019-0708-4Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defectsDavid Matera0Richard Huynh1Terrance Hanley2Amir B. Behnam3Philadelphia College of Osteopathic MedicineDepartment of Plastic and Reconstructive Surgery, Philadelphia College of Osteopathic MedicineDepartment of Surgery, Reading HospitalDivision of Plastic and Reconstructive Surgery, Reading HospitalAbstract Background The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400–500 cm2. However, it is utilized less often than workhorse flaps such as the omental, pectoralis, rectus abdominis, and latissimus dorsi myocutaneous flaps as many plastic surgeons are not aware that the flap can cover larger areas than previously documented. Case presentation We report a 57-year-old female tobacco user who underwent a resection of a grade 3 breast angiosarcoma resulting in a high left chest wall soft tissue defect approximating 900 cm2. The patient underwent an external oblique myocutaneous pedicle flap reconstruction of the defect, most notably in anticipation of postoperative adjuvant radiation therapy. No gross flap complications and or patient impairment were noted. Thirteen months status post flap reconstruction, the patient underwent an aortic valve replacement requiring re-elevation of the same flap for exposure. The flap demonstrated excellent viability during the procedure and postoperatively. Conclusion The pedicled external oblique myocutaneous flap should be considered when reconstructing larger high chest wall defects when other more common flaps used in chest reconstruction may not be indicated. The external oblique myocutaneous flap is an excellent tool in the armamentarium of any reconstructive surgeon; it is a straightforward and versatile flap that can be safely and reliably used in durable reconstruction of defects of the chest wall and covers defects larger than previously described in the literature.http://link.springer.com/article/10.1186/s40792-019-0708-4External oblique flapExternal oblique musculocutaneous flapThoracic wall defectChest wall defectAngiosarcoma |
| spellingShingle | David Matera Richard Huynh Terrance Hanley Amir B. Behnam Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects Surgical Case Reports External oblique flap External oblique musculocutaneous flap Thoracic wall defect Chest wall defect Angiosarcoma |
| title | Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects |
| title_full | Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects |
| title_fullStr | Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects |
| title_full_unstemmed | Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects |
| title_short | Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects |
| title_sort | revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects |
| topic | External oblique flap External oblique musculocutaneous flap Thoracic wall defect Chest wall defect Angiosarcoma |
| url | http://link.springer.com/article/10.1186/s40792-019-0708-4 |
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