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Large Chest Wall Reconstruction Using a Pedicled Osteomuscle Composite Flap: Report of a Case

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Abstract

A 67-year-old man with diabetes mellitus and chronic renal failure underwent resection of a grade 1 chondrosarcoma. We performed chest wall reconstruction of the massive defect, using a pedicled osteomuscle composite flap comprising the 6th, 8th, and 10th ribs, and the latissimus dorsi and serratus anterior muscles. This flap is ready to mobilize as a pedicled graft to cover a large chest wall defect; it is strong enough to buttress the chest cage without the need for artificial materials, and it is associated with a lower risk of infection than prosthetic materials.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Tokyo Metropolitan Komagome Hospital, Honkomagome, Bunkyo-ku, Tokyo, 113-8677, Japan

    Koji Sakaguchi, Hirotoshi Horio & Katsuyuki Kuwabara

  2. Department of Plastic Surgery, Tokyo Metropolitan Komagome Hospital, Honkomagome, Bunkyo-ku, Tokyo, 113-8677, Japan

    Yasunobu Terao

Authors
  1. Koji Sakaguchi
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  2. Hirotoshi Horio
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  3. Katsuyuki Kuwabara
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  4. Yasunobu Terao
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Sakaguchi, K., Horio, H., Kuwabara, K. et al. Large Chest Wall Reconstruction Using a Pedicled Osteomuscle Composite Flap: Report of a Case. Surg Today 36, 180–183 (2006). https://doi.org/10.1007/s00595-005-3113-5

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  • DOI: https://doi.org/10.1007/s00595-005-3113-5

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