Reconstruction using a pedicled upper arm fillet flap after excision of a malignant peripheral nerve sheath tumor: A case report

Autor: Timothy L. Fitzgerald, Parteek Singla, Richard S. Zeri, Swapnil D. Kachare, Enamul Haque
Rok vydání: 2014
Předmět:
Zdroj: World Journal of Clinical Cases. 2:899
ISSN: 2307-8960
DOI: 10.12998/wjcc.v2.i12.899
Popis: Non-salvageable extremities have been utilized for harvesting fillet flaps as part of the “spare parts” concept in traumatic and oncologic settings. Here we report on the use of a pedicled fillet flap of the upper arm for chest wall reconstruction after excision of a malignant peripheral nerve sheath tumor in a patient with neurofibromatosis. Pedicled flaps as part of the “spare parts” concept provide the advantage of reduced donor-site morbidity, immediate closure, intact vasculature, and adequate soft tissue coverage of large defects. Malignant peripheral nerve sheath tumor is a rare aggressive tumor with a poor prognosis that may result in large defects post resection. Limited data describes the use of pedicled fillet flaps of the upper extremity. We report the use of a pedicled fillet flap of the upper arm as a viable option that can be successfully used for coverage of soft tissue defects of the shoulder and chest wall post complex resections in an oncologic setting.
Databáze: OpenAIRE