[Thoracic fascio-cutaneous flap].

Fascio-cutaneous flaps (LFC) of the thoracic wall are of rather historical interest with the exception of axillary and lateral thoraco-dorsal LFC. The reason has been the development of muscular, musculo-cutaneous and microvascular flaps which provide larger surfaces for defect cover, greater arc of rotation or none at all as well as superior vascularisation. The axillary LFC is used to correct axillary contractures after burns or to cover skin defects following radical excision for hidradenitis suppurativa. The lateral thoraco-dorsal LFC permits immediate reconstruction of an amputated breast with a minimum of time and blood loss and an unsurpassed fiability. Furthermore it allows postoperative X-ray treatment if necessary as well as uninhibited control of loco-regional metastases.