The Annals of Thoracic Surgery, Vol 32, 202-208, Copyright © 1981 by The Society of Thoracic Surgeons
Reconstruction of the chest wall
RO Dingman and LC Argenta
Reconstruction of the chest wall can now be accomplished reliably and
expeditiously. Past experience with local flaps and split-thickness skin
grafts recommends their continued use when appropriate. Recent studies in
blood flow have demonstrated that very large muscles with or without the
overlying skin can be moved primarily and reliably. The four most reliable
myocutaneous flaps for chest wall reconstruction are described.
Microsurgery allows movement of large segments of skin and muscle from
expendable areas of the body to the chest wall.