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Case Report 


Entire forearm free fillet flap for thoracic reconstruction: Case report.

Carlos Eduardo Torres Fuentes, Lorena Barrera, Carlos Augusto Perez Romero, Diego Fernando Alarcon.

Abstract
A 71-year-old patient diagnosed with recurrence of leiomyosarcoma in the left axillary region, which involved the infraspinatus muscle, subscapularis muscle, teres minor muscle, trapezius muscle, the posterior and lateral walls of the left hemithorax, rib arches and lung. Extended thoracic inter-scapular amputation of the left upper limb was performed, along with the resection of 4 rib arches and a segmental lobectomy by the orthopedic and thoracic surgery teams. In order to reconstruct this large defect without adding morbidity from a donor area, it was decided to design a large free composite flap from the entire forearm skin of the amputated limb, based on the brachial artery and superficial venous system; the anastomosis was performed to the subclavian vessels. This procedure allowed satisfactory coverage of the mesh and the osteosynthesis material used to reconstruct the chest wall. The aim of the report is to demonstrate the utility of fillet flap technique in the reconstructive plastic surgery field based on the historical concept of spare part.

Key words: amputation; anastomosis, surgical; brachial artery; forearm; humans; thoracic surgery; thoracic wall


 
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How to Cite this Article
Pubmed Style

Fuentes CET, Barrera L, Romero CAP, Alarcon DF, . Entire forearm free fillet flap for thoracic reconstruction: Case report.. doi:10.5455/handmicrosurg.26833


Web Style

Fuentes CET, Barrera L, Romero CAP, Alarcon DF, . Entire forearm free fillet flap for thoracic reconstruction: Case report.. http://handmicrosurgeryjournal.com/?mno=26833 [Access: May 07, 2021]. doi:10.5455/handmicrosurg.26833


AMA (American Medical Association) Style

Fuentes CET, Barrera L, Romero CAP, Alarcon DF, . Entire forearm free fillet flap for thoracic reconstruction: Case report.. doi:10.5455/handmicrosurg.26833



Vancouver/ICMJE Style

Fuentes CET, Barrera L, Romero CAP, Alarcon DF, . Entire forearm free fillet flap for thoracic reconstruction: Case report.. doi:10.5455/handmicrosurg.26833



Harvard Style

Fuentes, C. E. T., Barrera, L., Romero, C. A. P., Alarcon, D. F. & (0) Entire forearm free fillet flap for thoracic reconstruction: Case report.. doi:10.5455/handmicrosurg.26833



Turabian Style

Fuentes, Carlos Eduardo Torres, Lorena Barrera, Carlos Augusto Perez Romero, Diego Fernando Alarcon, and . 0. Entire forearm free fillet flap for thoracic reconstruction: Case report.. doi:10.5455/handmicrosurg.26833



Chicago Style

Fuentes, Carlos Eduardo Torres, Lorena Barrera, Carlos Augusto Perez Romero, Diego Fernando Alarcon, and . "Entire forearm free fillet flap for thoracic reconstruction: Case report.." doi:10.5455/handmicrosurg.26833



MLA (The Modern Language Association) Style

Fuentes, Carlos Eduardo Torres, Lorena Barrera, Carlos Augusto Perez Romero, Diego Fernando Alarcon, and . "Entire forearm free fillet flap for thoracic reconstruction: Case report.." doi:10.5455/handmicrosurg.26833



APA (American Psychological Association) Style

Fuentes, C. E. T., Barrera, L., Romero, C. A. P., Alarcon, D. F. & (0) Entire forearm free fillet flap for thoracic reconstruction: Case report.. doi:10.5455/handmicrosurg.26833








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