The extended pectoralis major flap for reconstruction of the upper posterior chest wall and axilla Niklas Iblher, MD, Vincenzo Penna, MD, Arash Momeni,

The extended pectoralis major flap for reconstruction of the upper posterior chest wall and axilla
Niklas Iblher, MD, Vincenzo Penna, MD, Arash Momeni, MD, Nestor Torio Padron, MD, G. Bjoern Stark, MD, Prof The Journal of Thoracic and Cardiovascular Surgery Volume 136, Issue 3, Pages e13 (September 2008) DOI: /j.jtcvs Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Defect and flap design.
The Journal of Thoracic and Cardiovascular Surgery , e13DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Flap transposition.

Patient 1: Preoperative situation with R2 resection of a malignant melanoma.

Patient 1: Design of extended musculocutaneous pectoralis major flap.

Patient 1: Intraoperative situation
Patient 1: Intraoperative situation. Above wide resection including the margo lateralis, spina, and pars membranacea of the scapula and the periscapular and parascapular muscles. The Journal of Thoracic and Cardiovascular Surgery , e13DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Patient 1: Six months postoperatively showing almost normal shoulder function.

Patient 2: Situation after incisional biopsy revealing a liposarcoma.

Patient 2: Defect after wide resection including the lower trapezius, latissimus, teres major and minor, and the periostium of the lower scapula. Insertion of the serratus muscle was free of tumor and was left intact. The Journal of Thoracic and Cardiovascular Surgery , e13DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Patient 2: Three months postoperatively.

Patient 3: Defect after wide resection of a pleomorphic sarcoma.

Patient 3: Flap design of extended pectoralis major myocutaneous flap.

Patient 3: Flap transposition.

Patient 3: Wound closure.

Patient 3: Result after 18 months.

The extended pectoralis major flap for reconstruction of the upper posterior chest wall and axilla Niklas Iblher, MD, Vincenzo Penna, MD, Arash Momeni,

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The extended pectoralis major flap for reconstruction of the upper posterior chest wall and axilla Niklas Iblher, MD, Vincenzo Penna, MD, Arash Momeni,

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Presentation on theme: "The extended pectoralis major flap for reconstruction of the upper posterior chest wall and axilla Niklas Iblher, MD, Vincenzo Penna, MD, Arash Momeni,"— Presentation transcript:

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