Bretón GMÁ, Hernández CD, Celio MJJ, Lima RA

Language: Spanish
References: 15
Page: 198-202
PDF size: 1370.53 Kb.

ABSTRACT

Introduction. The Ewing’s sarcoma is a rare bone cancer that occurs more frequently in pelvis, leg, humerus. It is treated with radical resection and immediate reconstruction is valued with flaps, being the most commonly used flap pectoral and deltopectoral being constrained by having to shoulder pedicles distant. However, the flap vertical trapezius is a cover flap that allows up as far as the upper third of the humerus with minimal morbidity donor in the region. Objective. To present a case of extraosseous Ewing’s sarcoma of deltoid region treated with surgical wide resection. Material and methods. During the period from January, 2005 to January, 2007 seven patients with age between 17 and 80 years have had an operation on complex defects of the head, neck and shoulder. The reasons were: epidermoid carcinoma of cheek (n = 2), of lip (n = 1), of oral cavity (n = 2) and extraosseous Ewing’s sarcoma of right deltoid (n =1) and not classified of shoulder (n = 1). Results. In all the patients flap vertical trapezius was use and only one patient needed a skin graft. Conclusion. The flap vertical trapezius is a surgical viable technique for the coverage of the defects for extraosseous Ewing’s sarcoma of shoulder, head and neck

REFERENCES

1. Nedea AE, DeLaney TF. Sarcoma and skin radiation oncology. Hematol Oncol Clin North Am 2006; 20(2): 401-29.

2. Gaboriau HP, Murakami CS. Skin anatomy and flap physiology. Otolaryngol Clin North Am 2001; 34(3): 555-69.

3. Mathes SJ, Nahai F. Clinical Atlas of Muscle and Musculocutaneous Flaps. St. Louis, Mo.: Mosby; 1979, Vol. 114, No. 2, p. 396.

4. Rosen HM. The extended trapezius musculocutaneous flap for cranio-orbital facial reconstruction. Plast Reconstr Surg 1985; 75: 318-25.

5. Miller JL Jr. Muscles of the chest wall. Thorac Surg Clin 2007; 17(4): 463-72.

6. Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: Experimental study and clinical applications. Br J Plast Surg 1987; 40: 113.

7. Yang D, Morris SF. Trapezius muscle: Anatomic basis for flap design. Ann Plast Surg 1998; 41: 52.

8. Demergasso F, Piazza MV. Trapezius myocutaneous flap in the reconstructive surgery for head and neck cancer. Am J Surg 1979; 138: 533-5.

9. Panje W. Myocutaneous trapezius flap. Head Neck Surg 1980; 2: 206-9.

10. Mathes SJ, Nahai F. Muscle flap transposition with function preservation: Technical and clinical considerations. Plast Reconstr Surg 1980; 66: 242-9.

11. Urken ML, Naidu RK, Lawson W, Biller HF. The lower trapezius island musculocutaneous flap revisited. Arch Otolaryngol Head Neck Surg 1991; 117: 502.

12. Lynch JR, Hansen JE, Chaffoo R, Seyfer AE. The lower trapezius musculocutaneous flap revisited: Versatile coverage for complicated wounds to the posteriorcervical and occipital regions based on the deep branch of the transverse cervical artery. Plast Reconstr Surg 2002; 109: 444-9.

13. Fadul D. Advanced Modalities for the imaging of sarcoma. Surg Clin North Am 2008; 88(3): 521-53.

14. DeLaney TF, Spiro IJ, Suit HD, et al. Neoadjuvant chemotherapy and radiotherapy for large extremity soft-tissue sarcomas. Int J Radiat Oncol Biol Phys 2003; 56: 1117-27.

15. Tan KC, Tan BK. Extended lower trapezius island myocutaneous flap: A fasciomyocutaneous flap based on the dorsal scapular artery. Plast Reconstr Surg 2000; 105: 1758.