Keller F T, Köhnlein H E
Abteilung für Unfall-, Hand- und Plastische Chirurgie, Kliniken Dr. M. Schreiber, München.
Helv Chir Acta. 1991 Jul;58(1-2):129-30.
Reconstruction of the thoracic wall is often necessary after cancer surgery of the breast or irradiation. The resulting large defects often cause an instable thoracic wall. To reconstruct stability, we can use fascia or dura mater. The large defects can be closed either by latissimus flap, or, if the thoracodorsal artery is destroyed, which is often the case by rotating flaps according to the technique of Schrudde or Bohmert, in very rare cases by distant flaps from the neighbouring upper arm.
乳腺癌手术或放疗后，胸廓重建常常是必要的。由此产生的大缺损往往会导致胸廓不稳定。为重建稳定性，我们可以使用筋膜或硬脑膜。大的缺损既可以用背阔肌皮瓣关闭，或者，如果胸背动脉被破坏（按照施鲁德或博默特技术旋转皮瓣时这种情况经常发生），在极少数情况下用来自邻近上臂的远位皮瓣关闭。
