Abstract
The authors present a retrospective review of 7 patients who underwent wide excision of the malignant tumors around the clavicle. Patient demographics, clinical details, the arc of rotation, outcome, and complications were analyzed.
Highlights
Wide excision of the soft tissue tumors around the clavicle results in extensive defects frequently leading to exposure of critical neurovascular and skeletal structures
When the lesions extend to the shoulder region, flap coverage is recommended to prevent wound contraction and restriction of shoulder movements
Latissimus dorsi muscle was evaluated by palpating the muscle at the posterior axillary fold while resisting the shoulder adduction during the preoperative workup
Summary
Wide excision of the soft tissue tumors around the clavicle results in extensive defects frequently leading to exposure of critical neurovascular and skeletal structures. When the lesions extend to the shoulder region, flap coverage is recommended to prevent wound contraction and restriction of shoulder movements. Very few local/regional options are available for coverage of these extensive soft tissue defects. Free tissue transfer is an alternative option to pedicle flaps. The latissimus dorsi myocutaneous flap (LDMF) is a versatile option to cover these defects due to its large vascularized surface area, long vascular pedicle, and less donor site morbidity. The versatility of pedicled latissimus dorsi (LD) flap is well known for the reconstruction of the breast, upper limb, and trunk defects. Extensive soft tissue defects following oncologic resections around the clavicle are rare and the utility of pedicled LD muscle flap has been less reported
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