Major chest wall reconstructions are usually required after radical excision of advanced cancer stages and large radionecrosis in patients with poor general conditions. Faciocutaneous, muscular, and musculocutaneous flaps have all been described, with the last ones being commonly considered a first choice. The authors introduce an extended pure cutaneous flap from the omolateral thoracoabdominal area that is able to cover extensive defects. The vascular supply is provided by the lateral cutaneous branches from intercostal, subcostal, and lumbar arteries. Between February 2002 and 2005, 18 female patients underwent major chest wall reconstruction with this technique. Flap dimensions ranged between 15 x 15 and 25 x 30 cm. No major complications were registered. Four flaps sustained a partial loss at the distal margin but 1 case only required further surgical debridement. The extended cutaneous "thoracoabdominal" flap proved to be a quick, single-stage procedure with a low morbidity rate, specifically indicated in patients with a poor prognosis.

Extended cutaneous 'thoracoabdominal' flap for large chest wall reconstruction / Paolo, Persichetti; Stefania, Tenna; Barbara, Cagli; Scuderi, Nicolo'. - In: ANNALS OF PLASTIC SURGERY. - ISSN 0148-7043. - 57:2(2006), pp. 177-183. [10.1097/01.sap.0000215253.54577.28]

Extended cutaneous 'thoracoabdominal' flap for large chest wall reconstruction

SCUDERI, Nicolo'
2006

Abstract

Major chest wall reconstructions are usually required after radical excision of advanced cancer stages and large radionecrosis in patients with poor general conditions. Faciocutaneous, muscular, and musculocutaneous flaps have all been described, with the last ones being commonly considered a first choice. The authors introduce an extended pure cutaneous flap from the omolateral thoracoabdominal area that is able to cover extensive defects. The vascular supply is provided by the lateral cutaneous branches from intercostal, subcostal, and lumbar arteries. Between February 2002 and 2005, 18 female patients underwent major chest wall reconstruction with this technique. Flap dimensions ranged between 15 x 15 and 25 x 30 cm. No major complications were registered. Four flaps sustained a partial loss at the distal margin but 1 case only required further surgical debridement. The extended cutaneous "thoracoabdominal" flap proved to be a quick, single-stage procedure with a low morbidity rate, specifically indicated in patients with a poor prognosis.
2006
advanced breast cancer; chest wall reconstruction; thoracoabdominal flap
01 Pubblicazione su rivista::01a Articolo in rivista
Extended cutaneous 'thoracoabdominal' flap for large chest wall reconstruction / Paolo, Persichetti; Stefania, Tenna; Barbara, Cagli; Scuderi, Nicolo'. - In: ANNALS OF PLASTIC SURGERY. - ISSN 0148-7043. - 57:2(2006), pp. 177-183. [10.1097/01.sap.0000215253.54577.28]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/3721
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