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http://dx.doi.org/10.5999/aps.2021.01368

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)
Publication Information
Archives of Plastic Surgery / v.49, no.1, 2022 , pp. 39-42 More about this Journal
Abstract
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.
Keywords
Pectoralis muscle; Thoracic wall; Neoplasms; Case reports;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 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.   DOI
2 Novoa NM, Alcaide JLA, Gomez Hernandez MT, et al. Chest wall - reconstruction: yesterday, today, and the future. Shanghai Chest 2019;3:15.   DOI
3 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.   DOI
4 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.
5 Ferlito A, Shaha AR, Silver CE, et al. Incidence and sites of distant metastases from head and neck cancer. ORL 2001;63:202-7.   DOI
6 Haubner F, Ohmann E, Pohl F, et al. Wound healing after radiation therapy: review of the literature. Radiat Oncol 2012;7:162.   DOI
7 Solomon MP, Granick MS. Bipedicle muscle flaps in sternal wound repair. Plast Reconstr Surg 1998;101:356-60.   DOI
8 Mansour KA, Thourani VH, Losken A, et al. Chest wall resections and reconstruction: a 25-year experience. Ann Thorac Surg 2002;73:1720-5.   DOI
9 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.   DOI
10 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.   DOI
11 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.   DOI