Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair
A case of a 66 year-old women, with a large chondrosarcoma arising from right lateral chest wall is presented. Parietal pleura, 3rd, 4th, 5th and 6th ribs (lateral arch), underlying muscle, subcutaneous tissues and the right breast were also involved by the tumor. Surgical resection was planned incl...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2005-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699069 |
| _version_ | 1828750853155061760 |
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| author | Jorge O Guerrissi |
| author_facet | Jorge O Guerrissi |
| author_sort | Jorge O Guerrissi |
| collection | DOAJ |
| description | A case of a 66 year-old women, with a large chondrosarcoma arising from right lateral chest wall is presented. Parietal pleura, 3rd, 4th, 5th and 6th ribs (lateral arch), underlying muscle, subcutaneous tissues and the right breast were also involved by the tumor. Surgical resection was planned including skin, right breast, 3rd, 4th, 5th and 6th lateral rib arches and parietal pleura; a wide defect was created with exposure of lung. Reconstruction was planned by means of an extensive myocutaneous dorsal flap pedicled on right thoracodorsal vessels; alloplastic mesh for parietal chest wall reconstruction was not used. Two years postoperative results showed no local recurrence and excellent aesthetic and functional results were evident; respiratory function remained unaltered. The progressive rigidity reached by the reconstructed lateral chest wall, allowed us to conclude that the use of myocutaneous flap is enough to avoid paradoxical respiratory movements and any type of alloplastic mesh is unnecessary. |
| first_indexed | 2024-12-10T20:44:37Z |
| format | Article |
| id | doaj.art-d8693ccd06d448e5b96452b3f2c53120 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-10T20:44:37Z |
| publishDate | 2005-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-d8693ccd06d448e5b96452b3f2c531202022-12-22T01:34:16ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2005-01-013801434710.1055/s-0039-1699069Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repairJorge O Guerrissi0Plastic Surgery Service, Argerich Hospital, Buenos Aires, ArgentinaA case of a 66 year-old women, with a large chondrosarcoma arising from right lateral chest wall is presented. Parietal pleura, 3rd, 4th, 5th and 6th ribs (lateral arch), underlying muscle, subcutaneous tissues and the right breast were also involved by the tumor. Surgical resection was planned including skin, right breast, 3rd, 4th, 5th and 6th lateral rib arches and parietal pleura; a wide defect was created with exposure of lung. Reconstruction was planned by means of an extensive myocutaneous dorsal flap pedicled on right thoracodorsal vessels; alloplastic mesh for parietal chest wall reconstruction was not used. Two years postoperative results showed no local recurrence and excellent aesthetic and functional results were evident; respiratory function remained unaltered. The progressive rigidity reached by the reconstructed lateral chest wall, allowed us to conclude that the use of myocutaneous flap is enough to avoid paradoxical respiratory movements and any type of alloplastic mesh is unnecessary.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699069chondrosarcomachest wallmyocutaneous flap |
| spellingShingle | Jorge O Guerrissi Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair Indian Journal of Plastic Surgery chondrosarcoma chest wall myocutaneous flap |
| title | Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair |
| title_full | Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair |
| title_fullStr | Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair |
| title_full_unstemmed | Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair |
| title_short | Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair |
| title_sort | large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair |
| topic | chondrosarcoma chest wall myocutaneous flap |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699069 |
| work_keys_str_mv | AT jorgeoguerrissi largelateralthoracicdefectbychondrosarcomaresectionchestwallreconstructionusingmyocutaneouslatissimusdorsalflapwithoutparietalrigidrepair |