External oblique myocutaneous flap coverage of large chest-wall defects following resection of breast tumors Journal Article
| Authors: | Bogossian, N.; Chaglassian, T.; Rosenberg, P. H.; Moore, M. P. |
| Article Title: | External oblique myocutaneous flap coverage of large chest-wall defects following resection of breast tumors |
| Abstract: | Defects resulting from resection of advanced breast-tumors can be quite large, posing a difficult reconstructive challenge. A significant number of such patients present with local recurrences after receiving external beam radiation and/or chemotherapy treatments. Pectoralis major, latissimus dorsi, rectus abdominis, and omental flaps with split-thickness skin grafts have been recommended for closure of chest-wall defects. What is often excluded from the list of reconstructive options is the external, oblique myocutaneous flap. In our series of 20 consecutive patients treated at Memorial Sloan- Kettering Cancer Center, an external oblique myocutaneous flap was used to cover these large chest-wall defects successfully. The median age of our patient population was 54.5 years, and 68 percent of them presented with local recurrence. Fifty percent had external beam radiation, and fifty percent had received chemotherapy. Twenty-five percent of our study group had had both treatments. The mean chest-wall defect measured 326 cm2, corresponding to a 20 x 16 cm area. We believe that the external oblique myocutaneous flap should be considered a safe and reliable option when reconstruction of large chest-wall defects is contemplated. |
| Keywords: | adult; cancer chemotherapy; clinical article; middle aged; cancer surgery; retrospective studies; surgical flaps; cancer radiotherapy; combined modality therapy; follow-up studies; neoplasm recurrence, local; breast cancer; breast; incidence; obesity; smoking; breast neoplasms; breast reconstruction; pectoralis major muscle; mammaplasty; latissimus dorsi flap; retrospective study; breast tumor; diabetes complications; breast implants; myocutaneous flap; breast neoplasms, male; rectus abdominis muscle; thorax wall defect; split thickness skin graft; humans; human; male; female; priority journal; article |
| Journal Title: | Plastic and Reconstructive Surgery |
| Volume: | 97 |
| Issue: | 1 |
| ISSN: | 0032-1052 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 1996-01-01 |
| Start Page: | 97 |
| End Page: | 103 |
| Language: | English |
| DOI: | 10.1097/00006534-199601000-00016 |
| PUBMED: | 8532811 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 22 November 2017 -- Source: Scopus |
