Latissimus dorsi muscle-flap over Gore-Tex patch for coverage of large thoracic defects in paediatric Ewing sarcoma

Primary rib involvement accounts for 16% of paediatric Ewing sarcoma (ES). Neo‐adjuvant chemotherapy and surgical tumor resection may leave large thoracic wall defects requiring complex reconstruction in a growing individual. We report our experience in three children aged 3, 10, and 12 years, in wh...

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Bibliographic Details
Published in:Pediatric blood & cancer 2009-05, Vol.52 (5), p.679-681
Main Authors: Gapany, Christophe, Raffoul, Wassim, Zambelli, Pierre-Yves, Joseph, Jean-Marc
Format: Article
Language:English
Subjects:
Askin tumor
chest wall reconstruction
Child
Child, Preschool
Ewing sarcoma
Female
Humans
latissimus dorsi muscle flap
Male
Muscle, Skeletal
PNET reconstruction
Polytetrafluoroethylene
Radiography
Reconstructive Surgical Procedures
Sarcoma, Ewing - diagnostic imaging
Sarcoma, Ewing - surgery
Surgical Flaps
Thoracic Diseases - diagnostic imaging
Thoracic Diseases - surgery
VEPTR
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Summary:Primary rib involvement accounts for 16% of paediatric Ewing sarcoma (ES). Neo‐adjuvant chemotherapy and surgical tumor resection may leave large thoracic wall defects requiring complex reconstruction in a growing individual. We report our experience in three children aged 3, 10, and 12 years, in whom single‐stage resection and reconstruction were performed using a Gore‐Tex Dualmesh patch, covered by a latissimus dorsi rotation flap harvested in continuity with the thoracolumbar fascia. The youngest patient also had a vertical expandable prosthetic titanium rib (VEPTR) anchored to help prevent subsequent scoliosis throughout growth. Pediatr Blood Cancer 2009;52:679–681. © 2009 Wiley‐Liss, Inc.
ISSN:1545-5009
1545-5017
DOI:10.1002/pbc.21848