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CC BY-NC-ND 4.0 · Arch Plast Surg 2023; 50(01): 010-016
DOI: 10.1055/s-0042-1760290
Breast/Trunk
Original Article

Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection

Gang Yeon Jo 
1   Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, South Korea
,
Sae Hwi Ki 
1   Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, South Korea
2   Department of Plastic and Reconstructive Surgery, School of Medicine, Inha University, Incheon, South Korea
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Abstract

Background The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we analyzed and evaluated the results and complications of the chest wall reconstructions followed by malignant tumor resection.

Methods From 2013 to 2022, we reviewed a medical record of patients who received chest reconstruction due to chest wall malignant tumor resection. The following data were retrieved: patients' demographic data, tumor type, type of operation, method of chest wall reconstruction of the soft and skeletal tissue and complications.

Results There were seven males and six female patients. The causes of reconstruction were 12 primary tumors and one metastatic carcinoma. The pathological types were seven sarcomas, three invasive breast carcinoma, and three squamous cell carcinomas. The skeletal reconstruction was performed in six patients. The series of the flap were eight pedicled latissimus dorsi (LD) myocutaneous flaps, two pectoralis major myocutaneous flap, two vertical rectus abdominis myocutaneous free flap, and one LD free flap. Among all the cases, only one staged reconstruction and successful reconstruction without flail chest. Most of the complications were atelectasis.

Conclusion In the case of accompanying multiple ribs and sternal defect, skeletal reconstruction would need skeletal reconstruction to prevent paradoxical chest wall motion. The flap for soft tissue defect be selected according to defect size and location of chest wall. With our experience, we recommend the reconstruction algorithm for chest wall defect due to malignant tumor resection.

Keywords

malignant tumor - chest wall tumor - chest wall reconstruction

Authors' Contributions

Writing original draft: G.Y.J., Review and editing: S.H.K. Supervisor: S.H.K.. All authors read and approved the final manuscript.


Ethical Approval

The study was approved by the Institutional Review Board of Inha University Hospital (IRB_POPDS_1001).


Patient Consent

Patients provided written informed consent for the publication and the use of their images.




Publikationsverlauf

Eingereicht: 27. Februar 2022

Angenommen: 02. November 2022

Artikel online veröffentlicht:
06. Februar 2023

© 2023. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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