Functional deltoid muscle reconstruction following an extensive squamous cell carcinoma resection

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Tang Weng Jun, Arman Zaharil Mat Saad

Abstract


Squamous cell carcinoma frequently occurs in an individual with albinism. In this case, the growth of the squamous cell carcinoma was aggressive that it invaded the deltoid muscle. After an oncologic resection, there was a huge defect which required near total resection of the deltoid muscle. Loss of deltoid muscle will lead to the loss of abduction and anterior flexion at the shoulder. This could be debilitating in a person’s normal daily life and activities. Restoration of the shoulder abduction and flexion function with a pedicle bipolar latissimus dorsi flap transfer was chosen in this case due to the versatility and reliability of the flap.


Keywords


Latissimus dorsi flap; squamous cell carcinoma; reconstruction of the shoulder

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References


Alam M, Ratner D. Cutaneous squamous-cell carcinoma. N Engl J Med 2001; 344(13): 975–983. doi: 10.1056/NEJ M200103293441306.

Kim JS, Lee JS, Yoon JO, Park JB. Reconstruction of the shoulder region using a pedicled latissimus dorsi flap after resection of soft tissue due to sarcoma. J Plast Reconstr Aesthet Surg 2009; 62(9): 1215–1218. doi: 10.1016/ j.bjps.2007.12.079.

Ferrier JA, Owens T, Singer DI. Functional reconstrution of the shoulder with a latissimus dorsi pedicle flap and a hemiarthroplasty: A case report. J Hand Surg Am 1995; 20(2): 284–287. doi: 10.1016/S0363-5023(05)80027-9.

Ma CH, Tu YK, Wu CH, Yen CY, Yu SW, et al. Reconstruction of upper extremity large soft-tissue defects using pedicled latissimus dorsi muscle flaps – Technique illustration and clinical outcomes. Injury 2008; 39(Suppl 4): 67–74. doi: 10.1016/j.injury.2008.08.033.

Itoh Y, Sasaki T, Ishiguro T, Uchinishi K, Yabe Y, et al. Transfer of latissimus dorsi to replace a paralysed anterior deltoid. A new technique using an inverted pedicled graft. J Bone Joint Surg Br 1987; 69-B(4): 647–651.

Chaudhry S, Hopyan S. Bipolar latissimus transfer for restoration of elbow flexion. J Orthop 2013; 10(3): 133– 138. doi: 10.1016/j.jor.2013.06.004.


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