A reconstructive algorithm for plastic surgery following extensive chest wall resection  A Losken, V.H Thourani, G.W Carlson, G.E Jones, J.H Culbertson, J.I Miller, K.A Mansour  British Journal of Plastic Surgery  Volume 57, Issue 4, Pages 295-302 (June 2004) DOI: 10.1016/j.bjps.2004.02.004

Figure 1 Reconstructive algorithm for chest wall resection. STSG, Split thickness skin graft; MMS, methyl methacrylate sandwich; ForeQ, forequarter amputation. British Journal of Plastic Surgery 2004 57, 295-302DOI: (10.1016/j.bjps.2004.02.004)

Figure 2 (A) Pre-operative CT scan of a 30-year-old man with osteogenicsarcoma of the left chest wall. (B) Left sided defect following en bloc chest wall resection (five ribs), with resection of the upper lobe and pericardium. (C) Skeletal reconstruction using Prolene mesh. (D) Coverage using a transverse rectus abdominus muscle (TRAM) flap. British Journal of Plastic Surgery 2004 57, 295-302DOI: (10.1016/j.bjps.2004.02.004)

Figure 3 (A) Pre-operative CT of a 50-year-old man with malignant fibrous hystiocytoma of the chest wall. (B) Large chest wall resection with Prolene mesh closure. Methyl methacrylate was added for additional support and protection. (C) Coverage with a vertical rectus abdominus myocutaneous flap. British Journal of Plastic Surgery 2004 57, 295-302DOI: (10.1016/j.bjps.2004.02.004)