Free Flaps for Chest Wall Reconstruction

Author(s):  
Vivian Ting ◽  
Julian Pribaz
2020 ◽  
Author(s):  
Farooq Shahzad ◽  
Evan Matros

Plastic surgeons are typically called upon to reconstruct the chest wall in four situations: oncologic resection, infections, trauma and osteoradionecrosis. In this chapter we will discuss post-oncologic reconstruction. Chest wall reconstruction following tumor resection is typically performed at the same setting as the ablative surgery; this results in quicker patient recovery and overall better outcomes. The reconstruction should be planned with the ablative surgeon so that an assessment can be made of the extent of resection and available donor sites for reconstruction. The major components of reconstruction are 1) skeletal support and 2) soft tissue coverage. Skeletal support is indicated if the defect is >5 cm, 4 or more ribs are removed or more than 2/3rd of the sternum is resected. Prosthetic mesh is most commonly used. Soft tissue reconstruction is performed with regional pedicled flaps in the vast majority of cases. Free flaps are used when regional flaps are not sufficient (large defects) or not available.  This review contains 11 figures, 3 tables, and 49 references. Keywords: chest wall, tumor, skeletal reconstruction, soft tissue reconstruction, mesh, acellular dermal matrix, titanium osteosynthesis systems, resorbable plates, pedicled flaps, free flaps


Author(s):  
Francesca Toia ◽  
Marta Cajozzo ◽  
Daniele Matta ◽  
Adriana Cordova

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Farid Ahmad Khan ◽  
Muhammad Umar Farooq ◽  
Humera Zafar

Background : Chest wall reconstruction remains one of the most challenging areas of Plastic and Reconstructive Surgery. The purpose of this study is to report our 4 year experience with chest wall reconstruction. Methods: A review of 62 patients who had chest wall reconstruction from 2001 to 2004, is included in the paper. Indications include, defects secondary to congenital deformity correction, post neoplastic reconstructions, post burn defects and sternotomy wounds. Procedures performed included direct closure after debridement, vacuum assisted closure with and without skin grafting, pectoralis major flap, rectus abdominis flap, omental flap and free flaps including latissmus dorsi flap. The average hospital stay was 13 days. The uneventful recovery was seen in 50 patients. Minor complications were seen in 12 patients whereas major complications were not seen in any patient. Conclusion: Chest wall reconstruction can be performed with satisfactory outcome provided that reconstruction ladder is followed


2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
L. Tewarie ◽  
A.K. Moza ◽  
A. Goetzenich ◽  
R. Zayat ◽  
R. Autschbach

2013 ◽  
Vol 49 (10) ◽  
pp. 450-452
Author(s):  
Elisabet Arango Tomás ◽  
Carlos Baamonde Laborda ◽  
Javier Algar Algar ◽  
Angel Salvatierra Velázquez

2013 ◽  
Vol 22 (9) ◽  
pp. 1112-1115 ◽  
Author(s):  
Gerardo Andrés Obeso Carillo ◽  
Montserrat Blanco Ramos ◽  
Gonzalo De Castro Parga ◽  
Eva María Garcia Fontan ◽  
Miguel Angel Cañizares Carretero

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