External Oblique Myocutaneous Flap Coverage of Large Chest-Wall Defects Following Resection of Breast Tumors

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,...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 1996-01, Vol.97 (1), p.97-103
Hauptverfasser: Bogossian, Norick, Chaglassian, Ted, Rosenberg, Paul H, Moore, Michael P
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container_end_page 103
container_issue 1
container_start_page 97
container_title Plastic and reconstructive surgery (1963)
container_volume 97
creator Bogossian, Norick
Chaglassian, Ted
Rosenberg, Paul H
Moore, Michael P
description 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 bad both treatments. The mean chest-wall defect measured 326 cm, corresponding to a 20 × 16 cm area.We believe that the external oblique myocutaneous flap should be considered a sale and reliable option when reconstruction of large chest-wall defects is contemplated.
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subjects Adult
Breast - surgery
Breast Implants
Breast Neoplasms - complications
Breast Neoplasms - surgery
Breast Neoplasms - therapy
Breast Neoplasms, Male - therapy
Combined Modality Therapy
Diabetes Complications
Female
Follow-Up Studies
Humans
Incidence
Male
Mammaplasty - methods
Middle Aged
Neoplasm Recurrence, Local - surgery
Obesity - complications
Retrospective Studies
Smoking - epidemiology
Surgical Flaps - methods
title External Oblique Myocutaneous Flap Coverage of Large Chest-Wall Defects Following Resection of Breast Tumors
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