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CC BY-NC 4.0 · Arch Plast Surg 2022; 49(01): 39-42
DOI: 10.5999/aps.2021.01368
Breast/Trunk
Case Report

Reconstruction of a large chest wall defect using bilateral pectoralis major myocutaneous flaps and V-Y rotation advancement flaps: a case report

Gang Yeon Jo 
Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, Korea
,
Jin Myung Yoon 
Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, Korea
,
Sae Hwi Ki 
Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, Korea
Department of Plastic and Reconstructive Surgery, School of Medicine, Inha University, Incheon, Korea
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Bilateral pectoralis major myocutaneous (PMMC) flaps are commonly used to reconstruct large chest wall defects. We report a case of large chest wall defect reconstruction using bilateral PMMC flaps augmented with axillary V-Y advancement rotation flaps for additional flap advancement. A 74-year-old male patient was operated on for recurrent glottic squamous cell carcinoma. Excision of the tumor resulted in a 10×10 cm defect in the anterior chest wall. Bilateral PMMC flaps were raised to cover the chest wall defect. For further flap advancement, V-Y rotation advancement flaps from both axillae were added to allow complete closure. All flaps survived completely, and postoperative shoulder abduction was not limited (100° on the right side and 92° on the left). Age-related skin redundancy in the axillae enabled the use of V-Y rotation advancement flaps without limitation of shoulder motion. Bilateral PMMC advancement flaps and the additional use of V-Y rotation advancement flaps from both axillae may be a useful reconstructive option for very large chest wall defects in older patients.

Keywords

Pectoralis muscle - Thoracic wall - Neoplasms - Case reports


Publication History

Received: 16 July 2021

Accepted: 01 December 2021

Article published online:
02 June 2022

© 2022. 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-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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