Free Superficial Inferior Epigastric ArteryFlap for Aesthetic Correction of MildPectus Excavatum

Raab, Nikolaus; Holm-Muehlbauer, Charlotte; Ninković, Milomir

doi:10.1097/prs.0b013e3181a3f5c2

Cited by 5 publications

(2 citation statements)

References 5 publications

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“…Reports on free tissue transplantation for the correction of congenital chest wall deformities have been previously described. [3][4][5][6][7][8] Some case reports have specifically addressed breast reconstruction in PE patients with autologous free tissue transfer. 7,8 These studies, however, have not reported on reconstruction performed in patients who have had prior surgical correction of PE, nor have they reported on the use of the IM vessels as recipients for microvascular anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum

Piccolo¹,

Nahabedian²,

Venturi³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Pectus excavatum is a deformity of the chest wall characterized by a sternal depression and possibly cardiac and pulmonary compression. Procedures performed during infancy for its correction may disrupt local anatomy and pose challenges to breast and reconstructive surgeons during mastectomy and reconstruction. We present a case report of a 45-year-old woman who had a Ravitch procedure for pectus excavatum correction in infancy who was diagnosed with right breast cancer undergoing bilateral nipple-sparing mastectomy with immediate deep inferior epigastric perforator flap reconstruction. A computed tomography angiography was used to study chest and abdominal anatomy before surgery. Patient safely underwent immediate breast reconstruction with deep inferior epigastric perforator flaps using the internal mammary vessels as recipient vessels. This case highlights the importance of preoperative vascular imaging and proper communication between the breast and plastic surgery teams during reconstructive surgery. It also displays the safety of performing immediate breast reconstruction using free tissue transfer and the internal mammary vessels as recipients for microvascular anastomosis.

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Section: Discussionmentioning

confidence: 99%

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum

Piccolo¹,

Nahabedian²,

Venturi³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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show abstract

“…Microvascular transplantation of autologous tissue or microvascular sternum turnover to fill extensive or moderate funnel deformities nowadays are of rather historical interest, even though single institutions still use it in very selected cases. [30][31][32][33] Such free-flap tissue transplantation needs extensive efforts concerning technical resources, and particular surgical expertise is prone to particular respiratory and other complications in the sternum turnover procedure. 34 Additionally such sophisticated surgery is considerably time consuming, and furthermore, the risk of microvascular failure and potentially deleterious flap loss even in centers with high microsurgical work-load 35 is drawn near 5%, whereas the donor sites of such free-flap tissue remain with considerable scar formation.…”

Section: Free Flapsmentioning

confidence: 99%

Deformities of the Thoracic Wall: Don't Forget the Plastic Surgeon

Schwabegger

2018

Eur J Pediatr Surg

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Surgical procedures for pectus excavatum (PE) repair, such as minimally invasive repair of pectus excavatum or similar interventions (modified open videoendoscopically assisted repair of pectus excavatum), for remodeling the anterior thoracic wall may finally not always achieve sufficiently pleasing aesthetic results. Particularly in the asymmetric and polymorphic cases, remnant deformities may still be present after any sophisticated remodeling attempt. On the other hand, some cases despite optimal surgical management develop mild recurrences with partial concavity or rib cartilage distortion shortly after pectus-bar removal. Secondary treatment options then may include open access surgery, resection, or reshaping of deformed and prominent costal cartilage. Residual concave areas can be filled by autologous tissue, such as cartilage chips, liposhifting, or implantation of customized alloplastics. To provide the best options for a variety of primary or secondary postsurgical expressions of anterior wall deformities, any physician dealing with PE corrections should be familiar with various shaping and complementary reconstructive techniques or at least should have knowledge of such. However, among treating surgeons, there is an awareness that no single method can be applied for every kind of funnel chest deformity. Careful selection of appropriate techniques, either as a single approach for the ordinary deformities or in conjunction with ancillary procedures for the intricate cases, should be mandatory, based on the heterogeneity of symptoms, severity, expectations, and surgical and technical resources. A variety of such ancillary reconstructive procedures for PE repair are explained and illustrated herewith.

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Bilateral breast reconstruction and pectus excavatum correction: a case and review of the literature

Satake

Muto

Kou³

et al. 2018

Eur J Plast Surg

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Free Superficial Inferior Epigastric ArteryFlap for Aesthetic Correction of MildPectus Excavatum

Cited by 5 publications

References 5 publications

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum

Deformities of the Thoracic Wall: Don't Forget the Plastic Surgeon

Bilateral breast reconstruction and pectus excavatum correction: a case and review of the literature

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