Archives of Plastic Surgery

  • 제49권1호
  • /
  • Pages.39-42
  • /
  • 2022
  • /
  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Reconstruction of a large chest wall defect using bilateral pectoralis major myocutaneous flaps and V-Y rotation advancement flaps: a case report

  • Jo, Gang Yeon (Department of Plastic and Reconstructive Surgery, Inha University Hospital) ;
  • Yoon, Jin Myung (Department of Plastic and Reconstructive Surgery, Inha University Hospital) ;
  • Ki, Sae Hwi (Department of Plastic and Reconstructive Surgery, Inha University Hospital)
  • 투고 : 2021.07.16
  • 심사 : 2021.12.01
  • 발행 : 2022.01.15
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초록

Bilateral pectoralis major myocutaneous (PMMC) flaps are commonly used to reconstruct large chest wall defects. We report a case of large chest wall defect reconstruction using bilateral PMMC flaps augmented with axillary V-Y advancement rotation flaps for additional flap advancement. A 74-year-old male patient was operated on for recurrent glottic squamous cell carcinoma. Excision of the tumor resulted in a 10×10 cm defect in the anterior chest wall. Bilateral PMMC flaps were raised to cover the chest wall defect. For further flap advancement, V-Y rotation advancement flaps from both axillae were added to allow complete closure. All flaps survived completely, and postoperative shoulder abduction was not limited (100° on the right side and 92° on the left). Age-related skin redundancy in the axillae enabled the use of V-Y rotation advancement flaps without limitation of shoulder motion. Bilateral PMMC advancement flaps and the additional use of V-Y rotation advancement flaps from both axillae may be a useful reconstructive option for very large chest wall defects in older patients.

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참고문헌

  1. Mansour KA, Thourani VH, Losken A, et al. Chest wall resections and reconstruction: a 25-year experience. Ann Thorac Surg 2002;73:1720-5. https://doi.org/10.1016/S0003-4975(02)03527-0
  2. Novoa NM, Alcaide JLA, Gomez Hernandez MT, et al. Chest wall - reconstruction: yesterday, today, and the future. Shanghai Chest 2019;3:15. https://doi.org/10.21037/shc.2019.02.02
  3. Bakri K, Mardini S, Evans KK, et al. Workhorse flaps in chest wall reconstruction: the pectoralis major, latissimus dorsi, and rectus abdominis flaps. Semin Plast Surg 2011;25:43-54. https://doi.org/10.1055/s-0031-1275170
  4. Weyant MJ, Bains MS, Venkatraman E, et al. Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg 2006;81:279-85. https://doi.org/10.1016/j.athoracsur.2005.07.001
  5. Na SK, Cho HJ, Jeon JH, et al. The value of salvage operation for recurrent head and neck cancer after surgery alone or surgery with radiotherapy. Korean J Otolaryngol-Head Neck Surg 2001;44: 301-4.
  6. Armand JP, Cvitkovic E, Recondo G, et al. Salvage chemotherapy in recurrent head and neck cancer: the Institut Gustave Roussy experience. Am J Otolaryngol 1993;14:301-6. https://doi.org/10.1016/0196-0709(93)90087-N
  7. Ferlito A, Shaha AR, Silver CE, et al. Incidence and sites of distant metastases from head and neck cancer. ORL 2001;63:202-7. https://doi.org/10.1159/000055740
  8. Haubner F, Ohmann E, Pohl F, et al. Wound healing after radiation therapy: review of the literature. Radiat Oncol 2012;7:162. https://doi.org/10.1186/1748-717X-7-162
  9. Turna A, Kavakli K, Sapmaz E, et al. Reconstruction with a patient-specific titanium implant after a wide anterior chest wall resection. Interact Cardiovasc Thorac Surg 2014;18:234-6. https://doi.org/10.1093/icvts/ivt408
  10. You YS, Chung CH, Chang YJ, et al. Analysis of 120 pectoralis major flaps for head and neck reconstruction. Arch Plast Surg 2012;39:522-7. https://doi.org/10.5999/aps.2012.39.5.522
  11. Solomon MP, Granick MS. Bipedicle muscle flaps in sternal wound repair. Plast Reconstr Surg 1998;101:356-60. https://doi.org/10.1097/00006534-199802000-00013