title: Free tensor fascia lata flap and synthetic mesh reconstruction for full-thickness chest wall defect.
abstract: A large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-old man with a soft tissue tumor involving the left lateral chest wall. We performed an en block resection and skeletal reconstruction using a mesh, free tensor fascia lata (TFL) flap for soft tissue coverage. This procedure could be performed in one position. A fixed fascia lata of the flap was also useful for tight reconstruction with the mesh. We suggest that free TFL and/or anterior lateral thigh flap is a useful technique to reconstruct anterior to posterior lateral chest wall defects.
authors.affiliation: Department of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, 1-15-1 Minami-ku, Sagamihara, Kanagawa 252-0344, Japan.
authors.forename: Jumpei
authors.initials: J
authors.lastname: Ono
authors.forename: Akira
authors.initials: A
authors.lastname: Takeda
authors.forename: Minekatsu
authors.initials: M
authors.lastname: Akimoto
authors.forename: Akira
authors.initials: A
authors.lastname: Iyoda
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Matsui
authors.forename: Yukitoshi
authors.initials: Y
authors.lastname: Satoh
authors.forename: Eiju
authors.initials: E
authors.lastname: Uchinuma