Combined free vascularized iliac osteocutaneous flap and pedicled pectoralis major myocutaneous flap for reconstruction of anterior chest wall full-thickness defect.
Combined free vascularized iliac osteocutaneous flap and pedicled pectoralis major myocutaneous flap for reconstruction of anterior chest wall full-thickness defect.
复制标题
游离带血管髂骨皮瓣与带蒂胸大肌皮瓣联合修复前胸壁全层缺损。
DOI：
10.1016/j.athoracsur.2010.07.042
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Hou
中科院分区：
文献类型：
--
作者：
Shih;K. Tung;H. Hsiao;C. Chen;Hou
前胸壁的巨大缺陷会导致严重的胸部不稳定，从而导致反常的呼吸。一位67岁女性，因胸骨下段及多根左肋骨发生放射性骨坏死，导致左前胸壁巨大的全层缺损。取骨段3×14 cm的髂骨骨皮瓣修复骨缺损。用髂骨皮瓣皮瓣和对侧胸大肌旋转肌皮瓣覆盖皮肤缺损。术后几个月，患者身体活动活跃，胸部稳定，带血管的髂骨被合并到受体骨中。
Large defects of the anterior chest wall lead to gross chest instability that can result in paradoxic respiration. Osteoradionecrosis of the lower sternum and multiple left ribs resulted in a huge, full-thickness defect of the left anterior chest wall in a 67-year-old woman. An iliac osteocutaneous flap (bone segment 3 × 14 cm) was harvested for reconstruction of the bone defect. The skin defect was covered by the skin paddle of the iliac osteocutaneous flap and a contralateral rotational pectoralis major muscle flap. Months postoperatively, the patient was physically active, the chest was stable, and the vascularized iliac bone was incorporated into the recipient bone.