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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
899

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Related Experiment Video

Updated: Apr 6, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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[Fillet flap for axillary reconstruction].

P Perrot1, U Lancien1, P Ridel1

  • 1Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.

Annales De Chirurgie Plastique Et Esthetique
|July 22, 2015
PubMed
Summary
This summary is machine-generated.

Neurofibromatosis type I (NF1) patients with malignant nerve sheath tumors can be treated with surgery. A novel fillet flap technique from the amputated limb provided coverage for extensive tissue loss after tumor resection.

Keywords:
Fillet flapFree flapLambeau libreMembre banqueNeurofibromaNeurofibromeNeurofibrosarcomaNeurofibrosarcome

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Genetics

Background:

  • Neurofibromatosis type I (NF1) is associated with aggressive malignant peripheral nerve sheath tumors (MPNSTs).
  • Surgical resection is the primary treatment modality for MPNSTs.

Observation:

  • A 22-year-old male with NF1 presented with a non-metastatic axillary neurofibrosarcoma.
  • An interscapulothoracic resection was performed, necessitating sacrifice of the latissimus dorsi myocutaneous flap.

Findings:

  • A free fillet flap, utilizing the entire skin and muscles of the amputated forearm based on the humeral pedicle, was employed for tissue coverage.
  • The flap was successfully anastomosed to the subclavian vessels, achieving wide and reliable coverage.
  • This approach avoided donor site morbidity.

Implications:

  • Fillet flaps represent a viable and effective solution for extensive tissue defects in complex oncological resections.
  • This technique offers a unique method for reconstruction without additional donor site morbidity in NF1 patients undergoing limb-sparing surgery.