A novel technique for the reconstruction of infected full-thickness chest wall defects Wassim Raffoul, MD, Michael Dusmet, MD, Michel Landry, MD, Hans-Beat.

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Presentation transcript:

A novel technique for the reconstruction of infected full-thickness chest wall defects Wassim Raffoul, MD, Michael Dusmet, MD, Michel Landry, MD, Hans-Beat Ris, MD The Annals of Thoracic Surgery Volume 72, Issue 5, Pages 1720-1724 (November 2001) DOI: 10.1016/S0003-4975(01)03103-4

Fig 1 Planning of incision for harvesting the flap (patient 2). (1 = scapula; 2 = skin flap; 3 = iliac crest; 4 = spine; 5 = thoracolumbar fascia.) The Annals of Thoracic Surgery 2001 72, 1720-1724DOI: (10.1016/S0003-4975(01)03103-4)

Fig 2 The harvested flap including the thoracodorsal fascia (patient 2). (1 = scapula; 2 = skin flap; 3 = iliac crest; 4 = the latissimus dorsi muscle; 5 = the thoracolumbar fascia.) The Annals of Thoracic Surgery 2001 72, 1720-1724DOI: (10.1016/S0003-4975(01)03103-4)

Fig 3 The planned full-thickness resection of an infected, irradiated segment of the chest wall in patient 2. The Annals of Thoracic Surgery 2001 72, 1720-1724DOI: (10.1016/S0003-4975(01)03103-4)

Fig 4 Reconstruction of the chest wall defect by suturing the fascia to the edges of the skeletal defect (patient 2). (1 = base of the neck; 2 = lower extent of the previous sternotomy incision; 3 = thoracolumbar fascia; 4 = latissimus dorsi muscle.) The Annals of Thoracic Surgery 2001 72, 1720-1724DOI: (10.1016/S0003-4975(01)03103-4)

Fig 5 Cinemagnetic resonance imaging with coronal sections through the reconstructed chest wall of patient 2 during inspiration and expiration demonstrating concordant chest wall motion and the absence of paradoxical motion during respiration. This figure shows the superposition of the images acquired dynamically during forced inspiration and expiration. The Annals of Thoracic Surgery 2001 72, 1720-1724DOI: (10.1016/S0003-4975(01)03103-4)