The main disadvantage of this flap is the rather unsightly, long abdominal scar, but there is no real problem of healing. We described local disunion treated by means of simple medical care (n = 3). Moreover, it does not allow breast reconstruction but only coverage of a plane. There is no sufficient volume and it is not possible to shape this strong flap. We described one case of Spigelian hernia.
We believe that the external oblique musculocutaneous flap is safe and reliable and allows for reconstruction of complex chest wall defects in the context of a local recurrence of breast cancer or a radiation-induced lesion. There is no major morbidity or complications. The good clinical outcome is encouraging.
Amélie Gesson-Paute, M.D.
Gwenaël Ferron, M.D.
Ignacio Garrido, M.D.
1. Lesnick, G. J., and Davids, A. M. Repair of surgical abdominal wall defect with a pedicled musculocutaneous flap. Ann. Surg
. 137: 569, 1953.
2. Chang, R. R., Mehrara, B. J., Hu, Q. Y., Disa, J. J., and Cordeiro, P. G. Reconstruction of complex oncologic chest wall defect: A 10 year experience. Ann. Plast. Surg
. 52: 471, 2004.
3. Moschella, F., and Cordova, A. A new extended external oblique musculocutaneous flap for reconstruction of large chest wall defect. Plast. Reconstr. Surg
. 103: 1378, 1999.
4. Bogossian, N., Chaglassian, T., Rosenberg, P. H., and Moore, M. P. External oblique myocutaneous flap coverage of large chest wall defects following resection of breast tumors. Plast. Reconstr. Surg
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