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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: Successful management of a mediastinum abscess with sternum destruction caused by MSSA bloodstream infection

Fig. 3

The sternal resection followed by latissimus dorsi myocutaneous flap reconstruction. A, B The anterior chest wall was widely incised, and the caudal half of the sternal body was resected leaving the costal cartilage attachments. The arrows show third, fourth, and fifth costal cartilage from the top. Light gray area shows remaining pectoralis major muscle, which was widely debrided. C Postoperative CT image showing sternal defect. D, E The anterior chest wall wound before (D) and after (E) latissimus dorsi myocutaneous flap reconstruction (arrows) combined with meshed split-skin graft (arrowheads)

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