Bury T F, Reece G P, Janjan N A, McMurtrey M J
Department of Reconstructive and Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.
Ann Plast Surg. 1995 Apr;34(4):409-14. doi: 10.1097/00000637-199504000-00013.
We report an unusual repair of a massive chest wall defect resulting from resection of a chronic ulcer after radiation therapy for stage IV breast carcinoma. The defect was 690 cm2 and included the body of the sternum, 10 ribs, and the anterior portion of the diaphragm. Chest wall reconstruction was accomplished with multiple flaps: a pectoralis major advancement flap, a reversed abdominoplasty, an omental flap, and a latissimus dorsiscapular-parascapular musculofasciocutaneous (hemiback) flap. Skeletal reconstruction with prosthetic material or bone grafts was not performed in this patient. The problems associated with complex chest wall reconstructions are discussed.
我们报告了一例因IV期乳腺癌放疗后慢性溃疡切除导致的巨大胸壁缺损的特殊修复病例。缺损面积为690平方厘米，包括胸骨体、10根肋骨和膈肌前部。胸壁重建采用了多种皮瓣：胸大肌推进皮瓣、逆行腹壁成形术、网膜皮瓣和背阔肌-肩胛旁肌筋膜皮瓣（半背皮瓣）。该患者未进行假体材料或骨移植的骨骼重建。文中讨论了复杂胸壁重建相关的问题。
