title: A new option for autologous anterior chest wall reconstruction: the composite thoracodorsal artery perforator flap.
abstract: Sternal chondrosarcoma is rare and often requires total or subtotal sternectomy. The authors describe the case of a 70-year-old man with sternoclavicular joint chondrosarcoma who underwent subtotal sternectomy with partial resection of the two clavicles and anterior arches of first to third right ribs. Anterior chest wall reconstruction was performed with a composite thoracodorsal artery perforator free flap with sixth and seventh ribs vascularized on serratus muscle. The postoperative course was uneventful. Seven months after surgery, the patient was doing well. This surgical procedure is a new option for autologous reconstruction without prosthetic material after extensive sternectomy.
authors.affiliation: Department of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital Amiens, and Unit of Research and Innovation for Surgical Expertise, Amiens Medical School, Amiens, France.
authors.forename: Sandy
authors.initials: S
authors.lastname: Dast
authors.forename: Pascal
authors.initials: P
authors.lastname: Berna
authors.forename: Quentin
authors.initials: Q
authors.lastname: Qassemyar
authors.forename: Raphael
authors.initials: R
authors.lastname: Sinna
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013895:Thoracic Arteries; D035441:Thoracic Wall / Q000601:surgery*