The external dermo glandular mammary flap: an alternative technique for chest wall reconstruction

The external dermo glandular mammary flap: an alternative technique for chest wall reconstruction Chest wall reconstructions can be challenging procedures especially after large thoracic defects generated by cancer resections. We report a case of an anterior chest wall defect after a recurrent metaplastic carcinoma of the breast 7 years after the mastectomy. A partial sternectomy was carried out in conjunction with resection of the first four right ribs. Chest wall skeletal defects were reconstructed with polypropylene mesh folded in four under tension. Soft tissue reconstruction was performed with an external controlateral dermoglandular flap after a mammoplasty. The 12 × 38 cm flap remained on the external mammary vascularization and was tunneled to cover the defect. After follow-up, the patient remains disease-free with satisfactory quality of life. This new breast flap can expand the therapeutic arsenal to cover such chest wall defects offering, at the same time, a mammoplasty. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

The external dermo glandular mammary flap: an alternative technique for chest wall reconstruction

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Publisher
Springer Journals
Copyright
Copyright © 2012 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-012-0700-8
Publisher site
See Article on Publisher Site

Abstract

Chest wall reconstructions can be challenging procedures especially after large thoracic defects generated by cancer resections. We report a case of an anterior chest wall defect after a recurrent metaplastic carcinoma of the breast 7 years after the mastectomy. A partial sternectomy was carried out in conjunction with resection of the first four right ribs. Chest wall skeletal defects were reconstructed with polypropylene mesh folded in four under tension. Soft tissue reconstruction was performed with an external controlateral dermoglandular flap after a mammoplasty. The 12 × 38 cm flap remained on the external mammary vascularization and was tunneled to cover the defect. After follow-up, the patient remains disease-free with satisfactory quality of life. This new breast flap can expand the therapeutic arsenal to cover such chest wall defects offering, at the same time, a mammoplasty.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Nov 1, 2012

References

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