Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Latissimus dorsi muscle-flap over Gore-Tex patch for coverage of large thoracic defects in paediatric Ewing sarcoma.
Pediatric Blood and Cancer
Publication types: Case Reports ; Journal Article
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.
Child, Child, Preschool, Female, Humans, Male, Muscle, Skeletal, Polytetrafluoroethylene, Reconstructive Surgical Procedures, Sarcoma, Ewing/radiography, Sarcoma, Ewing/surgery, Surgical Flaps, Thoracic Diseases/radiography, Thoracic Diseases/surgery
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