title: Complex posterior thoracic wall reconstruction using a crossover combined latissimus dorsi and serratus anterior free flap.
abstract: Radical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. We report an original case of a left giant dorsal chondrosarcoma originating from the 11th costovertebral joint. After extended resection and skeletal reconstruction, soft tissue coverage was achieved with an original contralateral free flap encompassing both latissimus dorsi and serratus anterior muscles. The flap pedicle was anastomosed to the ipsilateral thoracodorsal vessels.
authors.affiliation: Department of Plastic Surgery, Strasbourg Academic Hospital, Strasbourg, France frederic.bodin@chru-strasbourg.fr.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Bodin
authors.affiliation: Department of Plastic Surgery, Strasbourg Academic Hospital, Strasbourg, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Dissaux
authors.affiliation: Department of Spine Surgery, Strasbourg Academic Hospital, Strasbourg, France.
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Steib
authors.affiliation: Department of Thoracic Surgery, Strasbourg Academic Hospital, Strasbourg, France.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Massard
mesh_terms: D000328:Adult; D002813:Chondrosarcoma / Q000601:surgery*; D058752:Free Tissue Flaps / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D064171:Superficial Back Muscles / Q000601:surgery*; D013899:Thoracic Neoplasms / Q000601:surgery*; D035441:Thoracic Wall / Q000601:surgery*
keywords: Chest wall reconstruction; Chondrosarcoma; Free flap; Latissimus dorsi muscle; Serratus anterior muscle