Singla Parteek, Kachare Swapnil D, Fitzgerald Timothy L, Zeri Richard S, Haque Enamul
Parteek Singla, Brody School of Medicine, East Carolina University, Greenville, NC 27834, United States.
World J Clin Cases. 2014 Dec 16;2(12):899-902. doi: 10.12998/wjcc.v2.i12.899.
Non-salvageable extremities have been utilized for harvesting fillet flaps as part of the "spare parts" concept in traumatic and oncologic settings. Here we report on the use of a pedicled fillet flap of the upper arm for chest wall reconstruction after excision of a malignant peripheral nerve sheath tumor in a patient with neurofibromatosis. Pedicled flaps as part of the "spare parts" concept provide the advantage of reduced donor-site morbidity, immediate closure, intact vasculature, and adequate soft tissue coverage of large defects. Malignant peripheral nerve sheath tumor is a rare aggressive tumor with a poor prognosis that may result in large defects post resection. Limited data describes the use of pedicled fillet flaps of the upper extremity. We report the use of a pedicled fillet flap of the upper arm as a viable option that can be successfully used for coverage of soft tissue defects of the shoulder and chest wall post complex resections in an oncologic setting.
在创伤和肿瘤治疗中，不可挽救的肢体已被用于切取鱼际皮瓣，作为“备用部件”概念的一部分。在此，我们报告1例神经纤维瘤病患者，在切除恶性外周神经鞘膜瘤后，使用带蒂上臂鱼际皮瓣重建胸壁的情况。作为“备用部件”概念一部分的带蒂皮瓣具有供区并发症减少、可立即闭合、血管完整以及能充分覆盖大的缺损等优点。恶性外周神经鞘膜瘤是一种罕见的侵袭性肿瘤，预后较差，切除后可能导致大的缺损。关于使用上肢带蒂鱼际皮瓣的资料有限。我们报告，在肿瘤治疗中，带蒂上臂鱼际皮瓣是一种可行的选择，可成功用于复杂切除术后肩部和胸壁软组织缺损的覆盖。
