scholarly journals Two-stage free anterolateral thigh flap in the management of full-thickness chest wall resection

2016 ◽  
Vol 50 (6) ◽  
pp. 1208-1209 ◽  
Author(s):  
Cécile Philandrianos ◽  
Dominique Casanova ◽  
Xavier Benoit D'journo ◽  
Pascal Alexandre Thomas
Keyword(s):  
Chest Wall ◽  
Anterolateral Thigh Flap ◽  
Chest Wall Resection ◽  
Full Thickness ◽  
Two Stage ◽  
Anterolateral Thigh

Full-Thickness Chest Wall Resection for Recurrent Breast Carcinoma: An Institutional Review and Meta-analysis

2005 ◽  
Vol 71 (9) ◽  
pp. 711-715 ◽  
Author(s):  
Colette R.J. Pameijer ◽  
David Smith ◽  
Laurence E. Mccahill ◽  
David N. Bimston ◽  
Lawrence D. Wagman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Chest Wall ◽  
English Literature ◽  
Meta Analysis ◽  
Disease Free Survival ◽  
Entire Group ◽  
Chest Wall Resection ◽  
Full Thickness ◽  
Recurrent Breast ◽  
Disease Free

Locoregional recurrence of breast cancer can occur in up to 30 per cent of patients and has often been considered to indicate a poor prognosis. We reviewed our experience with full-thickness chest wall resection for recurrent breast cancer and conducted a meta-analysis of the English literature to determine patient characteristics and outcomes. Twenty-two women with isolated chest wall recurrence of breast cancer were treated between 1970 and 2000 at our institution. We reviewed their preoperative demographics, operative management and outcome, and combined our results with seven other English language studies. A majority of women (90%) underwent a mastectomy as initial management of their breast cancer. Only 18 per cent of patients had meta-static disease at the time of chest wall resection, and 71 per cent of patients had an R0 resection. The 5-year disease-free survival at City of Hope National Medical Center (COH) was 67 per cent and was 45 per cent for the entire group of 400 patients. The 5-year overall survival was 71 per cent for the COH group and 45 per cent for the entire group. Several studies reported prognostic factors, the most common being a better prognosis in patients with a disease-free interval greater than 24 months. Full-thickness chest wall resection for patients with isolated local recurrence of breast cancer can provide long-term palliation and even cure in some patients.

scholarly journals Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap

2010 ◽  
Vol 43 (01) ◽  
pp. 088-091
Author(s):  
Pearlie W. W. Tan ◽  
Chin-Ho Wong ◽  
Heng-Nung Koong ◽  
Bien-Keem Tan
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Rectus Femoris ◽  
Musculocutaneous Flap ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Wall Defect ◽  
Prolene Mesh ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

ABSTRACTWe present a massive 25 cm x 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh–methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral–anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.

Full-Thickness Chest Wall Resection for Recurrent Breast Phyllodes Tumor

2007 ◽  
Vol 83 (6) ◽  
pp. 2196-2197 ◽  
Author(s):  
Jose D. Andrade Neto ◽  
Ricardo M. Terra ◽  
Angelo Fernandez ◽  
Viviane Rawet ◽  
Fabio B. Jatene
Keyword(s):  
Chest Wall ◽  
Phyllodes Tumor ◽  
Chest Wall Resection ◽  
Full Thickness ◽  
Recurrent Breast

A Combined Anterolateral Thigh Flap, Anteromedial Thigh Flap, and Vascularized Iliac Bone Graft for a Full-Thickness Defect of the Mental Region

1993 ◽  
Vol 31 (2) ◽  
pp. 175-180 ◽  
Author(s):  
Isao Koshima ◽  
Masaru Hosoda ◽  
Takahiko Moriguchi ◽  
Takaomi Hamanaka ◽  
Shinsaku Kawata ◽  
...  
Keyword(s):  
Bone Graft ◽  
Iliac Bone ◽  
Anterolateral Thigh Flap ◽  
Full Thickness ◽  
Anterolateral Thigh ◽  
Iliac Bone Graft

Full-thickness chest-wall resection followed by thorax reconstruction for recurrent malignant phyllodes tumor

2010 ◽  
Vol 16 (2) ◽  
pp. 156-160 ◽  
Author(s):  
Tokiko Ito ◽  
Ken-ichi Ito ◽  
Toshihiro Okada ◽  
Koichi Murayama ◽  
Toru Hanamura ◽  
...  
Keyword(s):  
Chest Wall ◽  
Phyllodes Tumor ◽  
Chest Wall Resection ◽  
Full Thickness ◽  
Malignant Phyllodes Tumor

scholarly journals Free anterolateral thigh full-thickness skin flap with vascularized lateral femoral cutaneous nerve for the reconstruction of facial nerve and external auditory canal after the resection of facial nerve schwannoma

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774182
Author(s):  
Ryo Karakawa ◽  
Mitsunaga Narushima ◽  
Shinya Ogishima ◽  
Hisako Hara ◽  
Shotaro Karino ◽  
...  
Keyword(s):  
Facial Nerve ◽  
External Auditory Canal ◽  
Skin Flap ◽  
Cutaneous Nerve ◽  
Lateral Femoral Cutaneous Nerve ◽  
Anterolateral Thigh Flap ◽  
Full Thickness ◽  
Thickness Skin ◽  
Anterolateral Thigh ◽  
Femoral Cutaneous Nerve

The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve and external auditory canal was successfully performed using an anterolateral thigh flap as a super-thin full-thickness skin flap, including vascularized lateral femoral cutaneous nerve. Resection of 20 mm × 46 mm facial schwannoma, including the skin of the external auditory canal, tympanic membrane, incus and malleus, was performed. The 8-cm nerve gap was repaired using a vascularized lateral femoral cutaneous nerve included in the anterolateral thigh flap. An 8 cm × 2 cm super-thin, free anterolateral thigh flap was then rolled up as a sac (diameter of 2 cm, height of 2 cm) and inset to the external auditory canal defect. The postoperative course was uneventful, and the flap survived completely. One year and nine months after the surgery, the patient’s facial movement has improved to the pre-surgery level.

scholarly journals Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect

2008 ◽  
Vol 23 (1) ◽  
pp. 28-30
Author(s):  
Samantha S. Castañeda ◽  
Daniel M. Alonzo ◽  
Rodney Marc H. Ramos
Keyword(s):  
Free Flap ◽  
Buccal Mucosa ◽  
Radical Neck Dissection ◽  
Normal Diet ◽  
Anterolateral Thigh Flap ◽  
Full Thickness ◽  
Lower Lip ◽  
Anterolateral Thigh ◽  
Post Operation ◽  
Soft Tissue Flap

Objective: To present our experience with the anterolateral thigh flap in reconstructing a full thickness defect of the buccal mucosa and cheek. Methods: Design: Case Report Setting: Tertiary Private Hospital Patient: One Results: A 36 year old male with a T4aN0M0 Stage IVa buccal carcinoma on the left underwent wide excision, marginal mandibulectomy and modified radical neck dissection with preservation of the spinal accessory nerve, internal jugular vein and sternocleidomastoid muscle. The resultant through-and-through defect of the cheek skin measuring 8 x 6cm and buccal mucosa measuring 6 x 10 cm with a concomitant ¼ upper lip and 1/3 lower lip defect was reconstructed with an anterolateral thigh free flap. The patient recovered uneventfully and underwent adjuvant concurrent chemoradiotherapy 1 month post-operation. At 2 ½ months post-operation, he had no oral incontinence and could resume a normal diet with good speech. Conclusion: The anterolateral thigh free flap is an excellent soft-tissue flap for reconstruction of a full thickness defect of the buccal area. Key words: Surgical flap, Carcinoma, squamous cell, Oral cancer

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