Indian Journal of Plastic Surgery
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Year : 2010  |  Volume : 43  |  Issue : 1  |  Page : 88--91

Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap

1 Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore
2 Department of Surgical Oncology, National Cancer Center, Singapore

Correspondence Address:
Bien-Keem Tan
FRCS. Singapore General Hospital, Outram Road, Singapore - 169 608
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-0358.63966

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We present a massive 25 cm x 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh-methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral-anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.


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