Latissimus dorsi muscle-flap over Gore-Tex patch for coverage of large thoracic defects in paediatric Ewing sarcoma.
Primary rib involvement accounts for 16% of paediatric Ewing sarcoma (ES). Neo-adjuvant chemotherapy and surgical tumor resection may leave large thoracic wall defects requiring complex reconstruction in a growing individual. We report our experience in three children aged 3, 10, and 12 years, in whom single-stage resection and reconstruction were performed using a Gore-Tex Dualmesh patch, covered by a latissimus dorsi rotation flap harvested in continuity with the thoracolumbar fascia. The youngest patient also had a vertical expandable prosthetic titanium rib (VEPTR) anchored to help prevent subsequent scoliosis throughout growth.
Gapany
Christophe
C
Service of Paediatric Surgery, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland. christophe.gapany@chuv.ch
Raffoul
Wassim
W
Zambelli
Pierre-Yves
PY
Joseph
Jean-Marc
JM
D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal; D011138:Polytetrafluoroethylene; D011859:Radiography; D019651:Plastic Surgery Procedures; D012512:Sarcoma, Ewing / Q000000981:diagnostic imaging / Q000601:surgery*; D013524:Surgical Flaps; D013896:Thoracic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*
D011138:Polytetrafluoroethylene