Cutaneous reinnervation of the rectus abdominis musculocutaneous flap after chest wall reconstruction: development of herpes zoster in the transplanted musculocutaneous flap.
We report a patient in whom herpes zoster developed in the transplanted rectus abdominis musculocutaneous flap 14 months after a chest wall reconstruction for recurrent breast cancer. Based on the distribution of the varicella zoster virus spreading along the sensory nerve fibers, we concluded that the virus spread along the reinnervated sensory nerves from the dorsal ganglia, through the intercostal nerves, and into the flap skin. It is suggested that this finding demonstrates the pathway of reinnervation into the transferred musculocutaneous flap on the chest wall.
Tomita
K
K
Department of Plastic and Reconstructive Surgery, Haibara General Hospital, Shizuoka, Japan.
Inoue
K
K
D000009:Abdominal Muscles / Q000294:innervation* / Q000821:virology; D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006562:Herpes Zoster / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011183:Postoperative Complications; D012867:Skin / Q000294:innervation / Q000821:virology; D013524:Surgical Flaps / Q000294:innervation* / Q000821:virology*; D019616:Thoracic Surgical Procedures