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Related Experiment Video

Updated: Mar 23, 2026

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Reconstructive Options for Oncologic Posterior Trunk Defects: A Review.

Björn Behr1, Johannes M Wagner1, Christoph Wallner1

  • 1Department of Plastic Surgery, BG University Hospital Bergmannsheil Bochum , Bochum , Germany.

Frontiers in Oncology
|March 26, 2016
PubMed
Summary

Reconstructing large posterior trunk defects after cancer surgery poses challenges. A proposed algorithm guides plastic surgeons in selecting appropriate flap techniques for optimal defect closure.

Keywords:
backflapplastic surgeryposterior trunkreconstruction

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Area of Science:

  • Plastic Surgery
  • Surgical Oncology
  • Reconstructive Surgery

Background:

  • Large defects following oncological tumor resections of the posterior trunk present significant reconstructive challenges.
  • A wide array of flap options, including transposition, perforator, pedicled muscle, and free flaps, are available for defect coverage.

Purpose of the Study:

  • To propose an algorithm for the closure of posterior trunk defects.
  • To guide plastic surgeons in selecting the most effective flap technique based on defect characteristics.

Main Methods:

  • Review of oncological tumor resections resulting in large posterior trunk defects.
  • Evaluation of various flap reconstruction techniques: transposition flaps, perforator flaps, pedicled muscle flaps, and free flaps.
  • Assessment of flap success, with a specific note on the latissimus dorsi turn-over flap.

Main Results:

  • Most posterior trunk defects can be successfully closed using local or pedicled muscle flaps.
  • All evaluated flap techniques achieved sufficient closure, with the exception of the latissimus dorsi turn-over flap in the authors' experience.
  • The study highlights the efficacy of various flap options for complex defect reconstruction.

Conclusions:

  • A structured algorithm is proposed to aid in the selection of flap techniques for posterior trunk defects.
  • The latissimus dorsi turn-over flap may be less reliable for these specific reconstructions.
  • Effective reconstruction of posterior trunk defects is achievable with careful flap selection.