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Latissimus dorsi muscle‐flap over Gore‐Tex patch for coverage of large thoracic defects in paediatric Ewing sarcoma
Author(s) -
Gapany Christophe,
Raffoul Wassim,
Zambelli PierreYves,
Joseph JeanMarc
Publication year - 2009
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.21848
Subject(s) - medicine , sarcoma , latissimus dorsi muscle , surgery , fascia , adjuvant chemotherapy , cancer , breast cancer , pathology
Primary rib involvement accounts for 16% of paediatric Ewing sarcoma (ES). Neo‐adjuvant chemotherapy and surgical tumor resection may leave large thoracic wall defects requiring complex reconstruction in a growing individual. We report our experience in three children aged 3, 10, and 12 years, in whom single‐stage resection and reconstruction were performed using a Gore‐Tex Dualmesh patch, covered by a latissimus dorsi rotation flap harvested in continuity with the thoracolumbar fascia. The youngest patient also had a vertical expandable prosthetic titanium rib (VEPTR) anchored to help prevent subsequent scoliosis throughout growth. Pediatr Blood Cancer 2009;52:679–681. © 2009 Wiley‐Liss, Inc.