Open AccessReconstruction using a pedicled upper arm fillet flap after excision of a malignant peripheral nerve sheath tumor: A case report
Author(s) -
Parteek Singla,
Swapnil D. Kachare,
Timothy L. Fitzgerald,
Richard S. Zeri,
Enamul Haque
Publication year - 2014
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v2.i12.899
Subject(s) - medicine , soft tissue , fillet (mechanics) , neurofibromatosis , surgery , malignant peripheral nerve sheath tumor , radiology , materials science , composite material
Non-salvageable extremities have been utilized for harvesting fillet flaps as part of the "spare parts" concept in traumatic and oncologic settings. Here we report on the use of a pedicled fillet flap of the upper arm for chest wall reconstruction after excision of a malignant peripheral nerve sheath tumor in a patient with neurofibromatosis. Pedicled flaps as part of the "spare parts" concept provide the advantage of reduced donor-site morbidity, immediate closure, intact vasculature, and adequate soft tissue coverage of large defects. Malignant peripheral nerve sheath tumor is a rare aggressive tumor with a poor prognosis that may result in large defects post resection. Limited data describes the use of pedicled fillet flaps of the upper extremity. We report the use of a pedicled fillet flap of the upper arm as a viable option that can be successfully used for coverage of soft tissue defects of the shoulder and chest wall post complex resections in an oncologic setting.