Review of Procedures for Reconstruction of Soft Tissue Chest Wall Defects Following Advanced Breast Malignancies

Cancer Control : Journal of the Moffitt Cancer Center
Alicia BillingtonJohn Kiluk

Abstract

The purpose of this article is to review closure options for complex chest wounds in patients with locally advanced breast cancer. Experiences of the plastic and oncologic surgery teams at Moffitt Cancer Center were reviewed, and the literature researched for various surgical options of complex chest wound closure. Multiple treatment modalities exist for reconstruction of complex chest wall wounds with the external oblique and V-Y latissimus dorsi musculocutaneous advancement flaps serving as workhorses in reconstruction. Treatment of cancer has moved from simply a surgical solution to include other modalities such as hormonal therapy, chemotherapy, and radiation-the latter 2 having serious consequences for wound healing. A team approach and knowledge of available flap options are vital for closure of complex wounds in a timely manner. Appropriate planning can optimize the primary goal of the oncologic surgeon to remove the cancer and the plastic surgeon's objective to reconstruct the defect and achieve a closed, durable wound prior to chemotherapy and radiation. We present the experience at the Moffitt Cancer Center in reconstructing challenging chest defects and review the reconstructive ladder.

References

Oct 1, 1996·Plastic and Reconstructive Surgery·P G Arnold, P C Pairolero
May 4, 2001·Plastic and Reconstructive Surgery·E Micali, F R Carramaschi
Feb 2, 2012·Seminars in Plastic Surgery·Evan Matros, Joseph J Disa
Feb 22, 2012·World Journal of Surgery·Manish C ChampaneriaSubhas C Gupta
May 28, 2015·Archives of Plastic Surgery·Joo Seok ParkEun Key Kim
Nov 19, 2015·Frontiers in Oncology·Kamran HaratiAdrien Daigeler
Feb 27, 2016·Annals of Plastic Surgery·Deniz DayiciogluAmbuj Kumar

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Citations

Oct 31, 2020·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Naomi SakamotoEisuke Fukuma

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Methods Mentioned

BETA
amputation
dissection

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