Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect

A large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-o...

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Autores principales: Ono, Jumpei, Takeda, Akira, Akimoto, Minekatsu, Iyoda, Akira, Matsui, Yoshio, Satoh, Yukitoshi, Uchinuma, Eiju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804293/
https://www.ncbi.nlm.nih.gov/pubmed/24191162
http://dx.doi.org/10.1155/2013/914716
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author Ono, Jumpei
Takeda, Akira
Akimoto, Minekatsu
Iyoda, Akira
Matsui, Yoshio
Satoh, Yukitoshi
Uchinuma, Eiju
author_facet Ono, Jumpei
Takeda, Akira
Akimoto, Minekatsu
Iyoda, Akira
Matsui, Yoshio
Satoh, Yukitoshi
Uchinuma, Eiju
author_sort Ono, Jumpei
collection PubMed
description A large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-old man with a soft tissue tumor involving the left lateral chest wall. We performed an en block resection and skeletal reconstruction using a mesh, free tensor fascia lata (TFL) flap for soft tissue coverage. This procedure could be performed in one position. A fixed fascia lata of the flap was also useful for tight reconstruction with the mesh. We suggest that free TFL and/or anterior lateral thigh flap is a useful technique to reconstruct anterior to posterior lateral chest wall defects.
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spelling pubmed-38042932013-11-04 Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect Ono, Jumpei Takeda, Akira Akimoto, Minekatsu Iyoda, Akira Matsui, Yoshio Satoh, Yukitoshi Uchinuma, Eiju Case Rep Med Case Report A large full-thickness chest wall defect over 10 cm in diameter requires skeletal reconstruction and soft tissue coverage. Use of various flaps for soft tissue coverage was previously reported, but en bloc resection in each case affects these flap pedicles and sizes. We present a case of a 74-year-old man with a soft tissue tumor involving the left lateral chest wall. We performed an en block resection and skeletal reconstruction using a mesh, free tensor fascia lata (TFL) flap for soft tissue coverage. This procedure could be performed in one position. A fixed fascia lata of the flap was also useful for tight reconstruction with the mesh. We suggest that free TFL and/or anterior lateral thigh flap is a useful technique to reconstruct anterior to posterior lateral chest wall defects. Hindawi Publishing Corporation 2013 2013-09-28 /pmc/articles/PMC3804293/ /pubmed/24191162 http://dx.doi.org/10.1155/2013/914716 Text en Copyright © 2013 Jumpei Ono et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ono, Jumpei
Takeda, Akira
Akimoto, Minekatsu
Iyoda, Akira
Matsui, Yoshio
Satoh, Yukitoshi
Uchinuma, Eiju
Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect
title Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect
title_full Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect
title_fullStr Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect
title_full_unstemmed Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect
title_short Free Tensor Fascia Lata Flap and Synthetic Mesh Reconstruction for Full-Thickness Chest Wall Defect
title_sort free tensor fascia lata flap and synthetic mesh reconstruction for full-thickness chest wall defect
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804293/
https://www.ncbi.nlm.nih.gov/pubmed/24191162
http://dx.doi.org/10.1155/2013/914716
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