Intrathoracic muscle flaps. An account of their use in the management of 100 consecutive patients

Arnold, Phillip G.; Pairolero,; Constant, Errikos

doi:10.1097/00006534-199112000-00077

Cited by 29 publications

(49 citation statements)

References 4 publications

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“…Only a few cases were treated by insertion of a tracheal stent 17 or with a combination of esophageal and tracheal stents 16,22 . If the defect is limited, the application of muscle flaps, 23 such as the latissimus dorsi, 12 pectoralis major 24 and the intracostal muscles, 25 is feasible. For reconstruction of a massive tracheal defect, allograft 26 or a substitutional trachea 27 may considered as therapeutic options.…”

Section: Discussionmentioning

confidence: 99%

Salvage of a massive esophago-tracheal fistula resulting from a stenting treatment

Shichinohe¹,

Okushiba²,

Morikawa³

et al. 2006

Diseases of the Esophagus

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We report the successful surgical resolution of a case of massive esophago-tracheal fistula (ETF) caused by a stenting treatment for stricture of an esophago-gastric anastomosis. A 54-year-old man was admitted to our hospital due to serious pneumonia secondary to ETF. He had previously received esophagectomy and post-operative chemo-radiation therapy for esophageal cancer, followed by stenting treatments for a benign stricture of the esophago-gastric anastomosis. For surgical treatment of the resulting ETF, serial operations were required. The first operation, performed under percutaneous cardiopulmonary support, included removal of the stents followed by tracheotomy, were with the coverage of the tracheal defect achieved using both major pectoral muscle flaps. A salivary fistula was also generated and an enteral nutrition tube was placed. Six months after the first operation, a pedicled ileocolic interposition was performed in order to effect reconstruction of the digestive tube, with an additional microvascular anastomosis of the ileocolic and internal thoracic artery and vein. After the second operation, the patient's ability to ingest food was restored, and he was discharged from the hospital. Thus, ETF was successfully treated by successive surgical operations with delicate intra- and post-operative respiratory management.

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Section: Discussionmentioning

confidence: 99%

Salvage of a massive esophago-tracheal fistula resulting from a stenting treatment

Shichinohe¹,

Okushiba²,

Morikawa³

et al. 2006

Diseases of the Esophagus

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“…Arnold and Pairolero concluded that the use of intrathoracic muscle transposition can be life-saving in patients with an actual or potential leak of an intrathoracic viscus. 3 The choice of muscle for transposition depends on the location of the space to be filled, as well as on previous operations. 4 The latissimus dorsi muscle is a reliable, safe option for intrathoracic transposition and thoracic wall reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Chest wall defect and chronic pleural infection: surgical treatment with thoracomyoplasty and open window thoracostomy

Pichler

Albrecht

Padberg

2006

Jpn J Thorac Cardiovasc Surg

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An 82-year-old woman with monoclonal immunoglobulin (Ig) M-type paraproteinemia had a large opacity in the right lung field. The abnormal shadow on roentgenogram had persisted for more than 6 years since the initial diagnosis of paraproteinemia, which had been diagnosed as Waldenström's macroglobulinemia (WM). Computed tomography revealed the lesion as a pulmonary tumor which was finally diagnosed as a marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) after surgical removal. MALT lymphoma constitutes the majority of primary pulmonary lymphomas and is often associated with monoclonal IgM-type paraproteinemia as well as WM, a distinctive lymphoproliferative disorder. Pulmonary MALT lymphoma should frequently be suspected in case of an indeterminate pulmonary tumor with IgM-type paraproteinemia.

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“…9,10 It is now commonly used for coverage of both extrathoracic defects as a musculocutaneous flap and intrathoracic defects to obliterate dead space as a muscle-only flap. [11][12][13] Muscle Anatomy The latissimus dorsi is the broadest of the back muscles and accordingly has multiple origins, most importantly the spinous processes of T7 to T12, the thoracolumbar fascia, and the posterior third of the iliac crest. There are also muscular slips that arise from the lowest four ribs, external oblique, and the scapula.…”

Section: Latissimus Dorsi Flapmentioning

confidence: 99%

Workhorse Flaps in Chest Wall Reconstruction: The Pectoralis Major, Latissimus Dorsi, and Rectus Abdominis Flaps

Bakri¹,

Mardini²,

Evans³

et al. 2011

Seminars in Plastic Surgery

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Large and life-threatening thoracic cage defects can result from the treatment of traumatic injuries, tumors, infection, congenital anomalies, and radiation injury and require prompt reconstruction to restore respiratory function and soft tissue closure. Important factors for consideration are coverage with healthy tissue to heal a wound, the potential alteration in respiratory mechanics created by large extirpations or nonhealing thoracic wounds, and the need for immediate coverage for vital structures. The choice of technique depends on the size and extent of the defect, its location, and donor site availability with consideration to previous thoracic or abdominal operations. The focus of this article is specifically to describe the use of the pectoralis major, latissimus dorsi, and rectus abdominis muscle flaps for reconstruction of thoracic defects, as these are the workhorse flaps commonly used for chest wall reconstruction.

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Intrathoracic muscle flaps. An account of their use in the management of 100 consecutive patients

Cited by 29 publications

References 4 publications

Salvage of a massive esophago-tracheal fistula resulting from a stenting treatment

Salvage of a massive esophago-tracheal fistula resulting from a stenting treatment

Chest wall defect and chronic pleural infection: surgical treatment with thoracomyoplasty and open window thoracostomy

Workhorse Flaps in Chest Wall Reconstruction: The Pectoralis Major, Latissimus Dorsi, and Rectus Abdominis Flaps

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