Open AccessChest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap
Author(s) -
Pearlie W.W. Tan,
ChinHo Wong,
Heng Nung Koong,
Bien Keem Tan
Publication year - 2010
Publication title -
indian journal of plastic surgery/indian journal of plastic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.299
H-Index - 29
eISSN - 1998-376X
pISSN - 0970-0358
DOI - 10.4103/0970-0358.63966
Subject(s) - medicine , rib cage , thigh , anatomy , surgery , soft tissue , breast reconstruction , resection , thoracodorsal artery , free flap , breast cancer , cancer
We present a massive 25 cm × 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh-methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral-anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.