Transthoracic hernia after harvesting a costal and latissimus dorsi flap.
Ribs are one of the most widely used grafts in craniofacial surgery. Harvesting a costochondral graft is easy and safe. The main complications are related to pneumothorax and chest-wall deformity in children. A complication is described in a patient who underwent an orbito-zygomatic reconstruction with two contiguous ribs and a latissimus dorsi free flap, and who subsequently developed a transthoracic hernia that required reconstruction with polypropylene mesh.
Autelitano
L
L
Department of Maxillo-Facial Surgery, San Paolo University Hospital, Milan, Italy. lucaaut@yahoo.it
Rabbiosi
D
D
Mantovani
A
A
Ghelma
F
F
D000368:Aged; D000564:Ameloblastoma / Q000601:surgery; D016025:Bone Transplantation; D005260:Female; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D008441:Maxillary Neoplasms / Q000601:surgery; D018482:Muscle, Skeletal / Q000601:surgery* / Q000637:transplantation; D009915:Orbit / Q000601:surgery; D011126:Polypropylenes; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D012272:Ribs / Q000601:surgery*; D013526:Surgical Mesh; D013896:Thoracic Diseases / Q000209:etiology* / Q000601:surgery; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D015050:Zygoma / Q000601:surgery
D011126:Polypropylenes