[Reconstruction of the anterior chest wall by a sandwich-type combination of a synthetic support and a muscle flap from the latissimus dorsi. Apropos of a case].
Reconstruction of the chest wall after balistic or other trauma requires good and muscle cover and creation of a new, stable and airtight wall. The authors present a case of balistic trauma of the right anterolateral chest wall which was urgently debrided and subsequently reconstructed by sandwich combination of a latissimus dorsi muscle flap and synthetic material composed of a sheet of PTFE and creation of two methylmethylacrylate ribs. The advantage of this technique is that it avoids the use of autologous tissue from an already weakened chest wall and confers a new chest stability in several sites corresponding to the wall defect with easily available and easy-to-use materials.
Lanfrey
E
E
Service de Chirurgle Plastique, Hôpital Rangueil, CHU, Toulouse.
Grolleau
J L
JL
Glock
Y
Y
Chavoin
J P
JP
Costagliola
M
M
D000328:Adult; D001415:Back; D006801:Humans; D008297:Male; D008768:Methylmethacrylates; D018482:Muscle, Skeletal / Q000601:surgery; D011138:Polytetrafluoroethylene; D012272:Ribs / Q000601:surgery; D013524:Surgical Flaps; D013536:Suture Techniques; D013898:Thoracic Injuries / Q000209:etiology / Q000601:surgery*; D014948:Wounds, Gunshot / Q000150:complications
D008768:Methylmethacrylates; D011138:Polytetrafluoroethylene
Reconstruction de la paroi thoracique antérieure par l'association, en sandwich, d'un support synthétique et d'un lambeau musculaire de latissimus dorsi. A propos d'un cas.