De-epithelialized latissimus dorsi musculocutaneous flap to reconstruct major chest wall resection after breast carcinoma.

Two cases of chest wall reconstruction after major resection due to breast carcinoma were reported. De-epithelialized latissimus dorsi musculocutaneous flaps were inserted in the skeletal defect in order to protect the underlying tissue and stabilize the thorax. The de-epidermized skin was anchored to the ribs and the sternum. The interest of this autologous procedure was discussed in relation to prosthetic reconstruction. Ease of use, flexibility and resistance to infection were underlined.