RT Journal Article
T1 Large posterior chest wall defect reconstructed with a de-epithelised trans-thoracic TRAM flap
A1 Lasso Vázquez, José María
A1 Uceda, Marta
A1 Peñalver Pascual, Rafael
A1 Moreno Mata, Nicolás
A1 Casteleiro, Ramón
A1 Pérez Cano, Rosa
AB Extensive posterior chest wall defects, especially those closer to the midline of the trunk, pose surgical challenges in plastic surgery. In these cases, prior to tissue coverage, the status of the pleural cavity and skeletal support need to be addressed to obtain a functional and anatomical reconstruction. We recently operated upon a patient presenting with an aggressive ossifying fibromyxoid tumour located in the lower dorsal paraspinal region on the right side. After ablative surgery and intra-operative radiotherapy, a broad defect in the chest wall of 15 x 10 cm, including the proximal part of five posterior ribs, was presented. It required immediate bony frame reconstruction, which was resolved with a Goretex patch wrapped with a de-epithelised myocutaneous pedicled transverse rectus abdominus myocutaneous (TRAM) flap, transposed through the right hemithorax. The patient was extubated 2 days after surgery and discharged in 10 days. We describe the use of an intra-thoracic TRAM flap to reach the posterior chest wall defects, and we propose its specific indication for reconstruction of extensive posterior chest wall defects when other options are unavailable.
PB Elsevier
SN 1748-6815
YR 2009
FD 2009-08-25
LK https://hdl.handle.net/20.500.14352/131626
UL https://hdl.handle.net/20.500.14352/131626
LA eng
NO Lasso JM, Uceda M, Peñalver R, Moreno N, Casteleiro R, Cano RP. Large posterior chest wall defect reconstructed with a de-epithelised trans-thoracic TRAM flap. J Plast Reconstr Aesthet Surg. 2010 May;63(5):e458-62. doi: 10.1016/j.bjps.2009.07.003
DS Docta Complutense
RD 18 mar 2026