Evidence map›Paper›PMID 37215623›Full record

ArticleJournal of surgical case reports2023

Reconstruction of a massive chest wall defect using a free anterolateral-lower medial thigh flaps: a case report.

Nadia Hui Shan Sim, Sabrina Ngaserin, Jia Jun Feng, Yee Onn Kok, Hui Wen Chua, Jorge Gaviria-Pinzon, Khong Yik Chew, Allen WeiJiat Wong

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Nadia Hui Shan SimPlastic, Reconstructive & Aesthetic Surgery Service, Department of General Surgery, Sengkang General Hospital, Singapore.
Sabrina NgaserinBreast Service, Department of General Surgery, Sengkang General Hospital, Singapore.
Jia Jun FengPlastic, Reconstructive & Aesthetic Surgery Service, Department of General Surgery, Sengkang General Hospital, Singapore.
Yee Onn KokPlastic, Reconstructive & Aesthetic Surgery Service, Department of General Surgery, Sengkang General Hospital, Singapore.
Hui Wen ChuaBreast Service, Department of General Surgery, Sengkang General Hospital, Singapore.
Jorge Gaviria-PinzonDepartment of Plastic, Reconstructive & Aesthetic Surgery, Hospital San Juan de Dios, Armenia, Columbia.
Khong Yik ChewDepartment of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, Singapore.
Allen WeiJiat WongPlastic, Reconstructive & Aesthetic Surgery Service, Department of General Surgery, Sengkang General Hospital, Singapore.
Sengkang General Hospital · SGHospital San Juan de Dios · CLSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critical defects of the chest wall require robust soft tissue coverage to protect the thoracic viscera. We define massive chest wall defects as larger than two-thirds of the chest wall. For such defects, classic flaps like the omentum, latissimus dorsi and anterolateral thigh flaps are usually insufficient. In our patient, a bilateral total mastectomy for locally advanced breast cancer resulted in a massive chest wall defect (40 by 30 cm). Soft tissue coverage was achieved with a combined anterolateral-lower medial thigh flaps. Revascularization of the anterolateral thigh and lower medial thigh components was via the internal mammary and thoracoacromial vessels, respectively. Post-operative recovery was uneventful and the patient received adjuvant chemoradiotherapy in a timely manner. The total follow up was 24-months. We illustrate the novel use of the lower medial thigh territory in extending the size of the anterolateral thigh flap to reconstruct massive chest wall defects.

Identifiers

PMID37215623
PMCPMC10198644
OpenAlexW4377087949

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.