title: Reconstruction using a pedicled upper arm fillet flap after excision of a malignant peripheral nerve sheath tumor: A case report.
abstract: Non-salvageable extremities have been utilized for harvesting fillet flaps as part of the "spare parts" concept in traumatic and oncologic settings. Here we report on the use of a pedicled fillet flap of the upper arm for chest wall reconstruction after excision of a malignant peripheral nerve sheath tumor in a patient with neurofibromatosis. Pedicled flaps as part of the "spare parts" concept provide the advantage of reduced donor-site morbidity, immediate closure, intact vasculature, and adequate soft tissue coverage of large defects. Malignant peripheral nerve sheath tumor is a rare aggressive tumor with a poor prognosis that may result in large defects post resection. Limited data describes the use of pedicled fillet flaps of the upper extremity. We report the use of a pedicled fillet flap of the upper arm as a viable option that can be successfully used for coverage of soft tissue defects of the shoulder and chest wall post complex resections in an oncologic setting.
authors.affiliation: Parteek Singla, Brody School of Medicine, East Carolina University, Greenville, NC 27834, United States.
authors.forename: Parteek
authors.initials: P
authors.lastname: Singla
authors.affiliation: Parteek Singla, Brody School of Medicine, East Carolina University, Greenville, NC 27834, United States.
authors.forename: Swapnil D
authors.initials: SD
authors.lastname: Kachare
authors.affiliation: Parteek Singla, Brody School of Medicine, East Carolina University, Greenville, NC 27834, United States.
authors.forename: Timothy L
authors.initials: TL
authors.lastname: Fitzgerald
authors.affiliation: Parteek Singla, Brody School of Medicine, East Carolina University, Greenville, NC 27834, United States.
authors.forename: Richard S
authors.initials: RS
authors.lastname: Zeri
authors.affiliation: Parteek Singla, Brody School of Medicine, East Carolina University, Greenville, NC 27834, United States.
authors.forename: Enamul
authors.initials: E
authors.lastname: Haque
keywords: Flaps; Malignant Peripheral Nerve Sheath Tumor; Neurofibromatosis; Reconstruction; Sarcoma