title: [Use of a free antero-lateral thigh flap for two-stage reconstruction of a large thoracic defect].
abstract: In case of extremely large thoracic full-thickness defects where no pedicled flap is available, very large free flaps are sometimes the only options. Dealing with such full-thickness defects where failure of the flap could be lethal, Servant and al described the concept of "two stage free flap" using Latissimus Dorsi muscular or myocutaneous flap. We present a reconstruction of a wide right posterior trunk radionecrosis with exposure of an underlying infected prosthesis using this two-stage free flap strategy with a fasciocutaneous antero-lateral thigh flap.
authors.affiliation: Service de chirurgie plastique et maxillo-faciale, hôpital Michallon, boulevard de la chantourne, 38700 La Tronche, France.
authors.forename: J
authors.initials: J
authors.lastname: Coudurier
authors.affiliation: Service de chirurgie plastique et maxillo-faciale, hôpital Michallon, boulevard de la chantourne, 38700 La Tronche, France.
authors.forename: M
authors.initials: M
authors.lastname: Hitier
authors.affiliation: Service de chirurgie plastique et maxillo-faciale, hôpital Michallon, boulevard de la chantourne, 38700 La Tronche, France.
authors.forename: C
authors.initials: C
authors.lastname: Ochala
authors.affiliation: Service de chirurgie plastique et maxillo-faciale, hôpital Michallon, boulevard de la chantourne, 38700 La Tronche, France. Electronic address: chamou@chu-grenoble.fr.
authors.forename: C
authors.initials: C
authors.lastname: Hamou
mesh_terms: D058752:Free Tissue Flaps; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011138:Polytetrafluoroethylene / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects*; D012867:Skin / Q000473:pathology*; D013848:Thigh; D013909:Thorax
chemical_list: D011138:Polytetrafluoroethylene
keywords: Antero-lateral thigh flap; Free flap; Lambeau antéro-latéral de cuisse; Lambeau libre; Perte de substance thoracique; Reconstruction thoracique; Thoracic reconstruction; Thorax defect