Large chest wall reconstruction using titanium micromesh and a pedicled latissimus dorsi musculocutaneous flap: Report of a case

Hirotoshi Horio, Takashi Ohtsuka, Yoshiaki Kubota, Tokio Hasegawa, Hiroaki Nomori, Tsuguo Naruke, Keiichi Suemasu

Research output: Contribution to journalArticle

5 Citations (Scopus)


The patient was a 54-year-old woman with a dermatopleural fistula and necrosis of the third to the fifth anterior ribs after postoperative adjuvant radiation for right breast cancer. After resection of the chest wall and combined partial resection of the right upper and middle lobes of the lung, the thoracic cage defect was stabilized by titanium micromesh and the soft tissue defect was covered by an ipsilateral pedicled latissimus dorsi musculocutaneous flap. The dorsal skin defect was covered by split-thickness skin grafts 3 weeks later. The advantages of titanium micromesh lie not only in its good biocompatibility and mechanical strength, but also in its light weight and low radiological interference. No paradoxical movement or other prosthesis-related complications occurred during the follow-up period. Thus, we consider that titanium micromesh is a suitable material to use in the reconstruction of a large chest wall defect.

Original languageEnglish
Pages (from-to)73-75
Number of pages3
JournalSurgery today
Issue number1
Publication statusPublished - 2005 Jul 19



  • Chest wall reconstruction
  • Chest wall resection
  • Titanium micromesh

ASJC Scopus subject areas

  • Surgery

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