Large chest wall reconstruction using a pedicled osteomuscle composite flap: report of a case.
A 67-year-old man with diabetes mellitus and chronic renal failure underwent resection of a grade 1 chondrosarcoma. We performed chest wall reconstruction of the massive defect, using a pedicled osteomuscle composite flap comprising the 6th, 8th, and 10th ribs, and the latissimus dorsi and serratus anterior muscles. This flap is ready to mobilize as a pedicled graft to cover a large chest wall defect; it is strong enough to buttress the chest cage without the need for artificial materials, and it is associated with a lower risk of infection than prosthetic materials.
Sakaguchi
Koji
K
Department of Thoracic Surgery, Tokyo Metropolitan Komagome Hospital, Honkomagome, Bunkyo-ku, Tokyo, 113-8677, Japan.
Horio
Hirotoshi
H
Kuwabara
Katsuyuki
K
Terao
Yasunobu
Y
D000368:Aged; D002813:Chondrosarcoma / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013899:Thoracic Neoplasms / Q000473:pathology / Q000601:surgery*; D035441:Thoracic Wall / Q000473:pathology*; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology