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Case report
Use of pedicled latissimus dorsi flap in anterior chest wall reconstruction
  1. Rini Vyas1,2,
  2. Rebecca Rollett1,
  3. Nakul Patel1 and
  4. Sridhar Rathinam2
  1. 1Plastic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK
  2. 2Thoracic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Rini Vyas; rinivyas{at}doctors.org.uk

Abstract

Successful surgical management of chest wall tumours relies on extensive chest wall resection with adequate margins. In large complex tumours, return to form and function is determined by appropriate skeletal and soft tissue reconstruction of the chest wall defect. We report an original case of a large 11×16×3 cm ulcerative basosquamous carcinoma of the anterior chest wall. Soft tissue reconstruction was performed with a unilateral pedicled latissimus dorsi flap. A multidisciplinary approach between thoracic and plastic surgeons was used in the planning, intraoperative and follow-up periods. This case highlights a good long-term functional and cosmetic outcome in complex chest wall reconstruction as a result of successful cross-specialty collaboration.

  • cardiothoracic surgery
  • plastic and reconstructive surgery
  • surgical oncology
  • skin cancer

https://doi.org/10.1136/bcr-2020-239890

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    Footnotes

    • Contributors NP and SR conceived the idea. NP performed data and image acquisition. RV collected and collated the information and images, supported by RR. RV drafted the article. NP, SR and RR critically reviewed and revised the article. All authors contributed to the final approval of the case report. All authors agree to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.