title: Plastic surgery in chest wall reconstruction: relevant aspects - case series.
abstract: OBJECTIVE
  to discuss the participation of Plastic Surgery in the reconstruction of the chest wall, highlighting relevant aspects of interdisciplinaryness.
  
  
  METHODS
  we analyzed charts from 20 patients who underwent extensive resection of the thoracic integument, between 2000 and 2014, recording the indication of resection, the extent and depth of the raw areas, types of reconstructions performed and complications.
  
  
  RESULTS
  among the 20 patients, averaging 55 years old, five were males and 15 females. They resections were: one squamous cell carcinoma, two basal cell carcinomas, five chondrosarcomas and 12 breast tumors. The extent of the bloody areas ranged from 4x9 cm to 25x40 cm. In 12 patients the resection included the muscular plane. In the remaining eight, the tumor removal achieved a total wall thickness. For reconstruction we used: one muscular flap associated with skin grafting, nine flaps and ten regional fasciocutaneous flaps. Two patients undergoing reconstruction with fasciocutaneous flaps had partially suffering of the flap, solved with employment of a myocutaneous flap. The other patients displayed no complications with the techniques used, requiring only one surgery.
  
  
  CONCLUSIONS
  the proper assessment of local tissues and flaps available for reconstruction, in addition to the successful integration of Plastic Surgery with the specialties involved in the treatment, enable extensive resections of the chest wall and reconstructions that provide patient recovery.
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Diogo
authors.initials: D
authors.lastname: Franco
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: João Medeiros
authors.initials: JM
authors.lastname: Tavares Filho
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Paola
authors.initials: P
authors.lastname: Cardoso
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Laércio
authors.initials: L
authors.lastname: Moreto Filho
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Mario Celso
authors.initials: MC
authors.lastname: Reis
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Carlos Henrique Ribeiro
authors.initials: CH
authors.lastname: Boasquevisque
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Augusto
authors.initials: A
authors.lastname: Rocha
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Afrânio
authors.initials: A
authors.lastname: Coelho-Oliveira
authors.affiliation: aff4.
authors.forename: José Aldrovando de
authors.initials: JA
authors.lastname: Oliveira
authors.affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: Talita Romero
authors.initials: TR
authors.lastname: Franco
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000601:surgery; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation; D013518:Surgery, Plastic; D013524:Surgical Flaps / Q000601:surgery; D035441:Thoracic Wall / Q000601:surgery*