Latissimus Dorsi Muscle-Flap Over Gore-Tex Patch for Coverage of Large Thoracic Defects in Paediatric Ewing Sarcoma

Pediatr Blood Cancer. 2009 May;52(5):679-81. doi: 10.1002/pbc.21848.


Primary rib involvement accounts for 16% of paediatric Ewing sarcoma (ES). Neo-adjuvant chemotherapy and surgical tumor resection may leave large thoracic wall defects requiring complex reconstruction in a growing individual. We report our experience in three children aged 3, 10, and 12 years, in whom single-stage resection and reconstruction were performed using a Gore-Tex Dualmesh patch, covered by a latissimus dorsi rotation flap harvested in continuity with the thoracolumbar fascia. The youngest patient also had a vertical expandable prosthetic titanium rib (VEPTR) anchored to help prevent subsequent scoliosis throughout growth.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Muscle, Skeletal*
  • Polytetrafluoroethylene*
  • Radiography
  • Reconstructive Surgical Procedures*
  • Sarcoma, Ewing / diagnostic imaging
  • Sarcoma, Ewing / surgery*
  • Surgical Flaps*
  • Thoracic Diseases / diagnostic imaging
  • Thoracic Diseases / surgery*


  • Polytetrafluoroethylene