title: Pectoral muscle flap with V-Y skin paddle for covering sternal defects.
abstract: Deep sternal wound infection (DSWI) after a cardiac operation is a rare but serious complication associated with significant morbidity and mortality. It can lead to wound dehiscence with sternal osteomyelitis and both bony and soft tissue residual defects. When the infection is eradicated, reconstruction of the thoracic wall remains the main challenge. Tissue used for covering the defect must be well nourished and sutures must be tension free. We present our unique modification of the method using the pectoral muscle axial flap with a V-Y skin paddle.
authors.affiliation: Department of Plastic and Aesthetic Surgery, University Hospital, Olomouc, Czech Republic. martin.molitor@seznam.cz
authors.forename: Martin
authors.initials: M
authors.lastname: Molitor
authors.forename: Martin
authors.initials: M
authors.lastname: Simek
authors.forename: Vladimír
authors.initials: V
authors.lastname: Lonský
authors.forename: Martin
authors.initials: M
authors.lastname: Kaláb
authors.forename: Jiří
authors.initials: J
authors.lastname: Veselý
authors.forename: Bohumil
authors.initials: B
authors.lastname: Zálešák
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000601:surgery*