PMC5293294_01
Latissimus dorsi muscle flap during thoracomyoplasty.
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F1
Once the septic status was resolved, a thoracomyoplasty with a double muscle flap transposition (latissimus dorsi and pectoralis major muscles) was performed (Fig. 1).
Skin necrosis after surgical debridement.
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F2
However, despite a targeted antibiotic therapy, the wound dehiscence led to the development of a muscle-cutaneous fistula with skin necrosis likely of vascular origin (Fig. 2).
Cutaneous axillary flap harvesting.
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F3
Therefore, after an extensive surgical debridement and the excision of the fistula (Fig. 3), surgical reconstruction was performed by covering the loss of substance with a skin axillary rotation flap (Fig. 4).