Anatomic regions - coverage options

Question 1

List coverage options for anterior chest wall defects.

Answer 1

Midline

1. Pec major
2. superiorly based VRAM (off subcostal vessel if required)
3. omentum
4. free flap

Lateral

1. Pec major
2. Latissimus dorsi
3. TDAP
4. Serratus
5. ICAP
6. Deltopectoral
7. external oblique

Question 2

List soft tissue flaps that can be used to fill intra-thoracic dead space

Answer 2

1. PM
2. LD
3. Serratus
4. TDAP
5. Omentum
6. VRAM
7. DP