Title

A twelve-year consecutive case experience in thoracic reconstruction.

Document Type

Article

Publication Date

3-2016

Institution/Department

Surgery

Journal Title

Plastic and reconstructive surgery. Global open.

ISSN

2169-7574

Abstract

BACKGROUND: We describe the second largest contemporary series of flaps used in thoracic reconstruction.

METHODS: A retrospective review of patients undergoing thoracomyoplasty from 2001 to 2013 was conducted. Ninety-one consecutive patients were identified.

RESULTS: Thoracomyoplasty was performed for 67 patients with intrathoracic indications and 24 patients with chest wall defects. Malignancy and infection were the most common indications for reconstruction (P < 0.01). The latissimus dorsi (LD), pectoralis major, and serratus anterior muscle flaps remained the workhorses of reconstruction (LD and pectoralis major: 64% flaps in chest wall reconstruction; LD and serratus anterior: 85% of flaps in intrathoracic indication). Only 12% of patients required mesh. Only 6% of patients with

CONCLUSION: Thoracic reconstruction remains a safe and successful intervention that reliably treats complex and challenging problems, allowing more complex thoracic surgery problems to be salvaged.

Comments

Division of Cardiothoracic Surgery, Maine Medical Center.

First Page

638

Last Page

638

Share

COinS