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Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection

Background  The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we a...

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Autores principales: Jo, Gang Yeon, Ki, Sae Hwi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902099/
https://www.ncbi.nlm.nih.gov/pubmed/36755660
http://dx.doi.org/10.1055/s-0042-1760290
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author Jo, Gang Yeon
Ki, Sae Hwi
author_facet Jo, Gang Yeon
Ki, Sae Hwi
author_sort Jo, Gang Yeon
collection PubMed
description Background  The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we analyzed and evaluated the results and complications of the chest wall reconstructions followed by malignant tumor resection. Methods  From 2013 to 2022, we reviewed a medical record of patients who received chest reconstruction due to chest wall malignant tumor resection. The following data were retrieved: patients' demographic data, tumor type, type of operation, method of chest wall reconstruction of the soft and skeletal tissue and complications. Results  There were seven males and six female patients. The causes of reconstruction were 12 primary tumors and one metastatic carcinoma. The pathological types were seven sarcomas, three invasive breast carcinoma, and three squamous cell carcinomas. The skeletal reconstruction was performed in six patients. The series of the flap were eight pedicled latissimus dorsi (LD) myocutaneous flaps, two pectoralis major myocutaneous flap, two vertical rectus abdominis myocutaneous free flap, and one LD free flap. Among all the cases, only one staged reconstruction and successful reconstruction without flail chest. Most of the complications were atelectasis. Conclusion  In the case of accompanying multiple ribs and sternal defect, skeletal reconstruction would need skeletal reconstruction to prevent paradoxical chest wall motion. The flap for soft tissue defect be selected according to defect size and location of chest wall. With our experience, we recommend the reconstruction algorithm for chest wall defect due to malignant tumor resection.
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spelling pubmed-99020992023-02-07 Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection Jo, Gang Yeon Ki, Sae Hwi Arch Plast Surg Background  The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we analyzed and evaluated the results and complications of the chest wall reconstructions followed by malignant tumor resection. Methods  From 2013 to 2022, we reviewed a medical record of patients who received chest reconstruction due to chest wall malignant tumor resection. The following data were retrieved: patients' demographic data, tumor type, type of operation, method of chest wall reconstruction of the soft and skeletal tissue and complications. Results  There were seven males and six female patients. The causes of reconstruction were 12 primary tumors and one metastatic carcinoma. The pathological types were seven sarcomas, three invasive breast carcinoma, and three squamous cell carcinomas. The skeletal reconstruction was performed in six patients. The series of the flap were eight pedicled latissimus dorsi (LD) myocutaneous flaps, two pectoralis major myocutaneous flap, two vertical rectus abdominis myocutaneous free flap, and one LD free flap. Among all the cases, only one staged reconstruction and successful reconstruction without flail chest. Most of the complications were atelectasis. Conclusion  In the case of accompanying multiple ribs and sternal defect, skeletal reconstruction would need skeletal reconstruction to prevent paradoxical chest wall motion. The flap for soft tissue defect be selected according to defect size and location of chest wall. With our experience, we recommend the reconstruction algorithm for chest wall defect due to malignant tumor resection. Thieme Medical Publishers, Inc. 2023-02-06 /pmc/articles/PMC9902099/ /pubmed/36755660 http://dx.doi.org/10.1055/s-0042-1760290 Text en The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Jo, Gang Yeon
Ki, Sae Hwi
Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection
title Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection
title_full Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection
title_fullStr Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection
title_full_unstemmed Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection
title_short Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection
title_sort analysis of the chest wall reconstruction methods after malignant tumor resection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902099/
https://www.ncbi.nlm.nih.gov/pubmed/36755660
http://dx.doi.org/10.1055/s-0042-1760290
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