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Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Chest wall reconstruction using an omental flap and Integra.

D Aquilina¹, F X Darmanin, J Briffa

¹Department of Plastic Surgery and Burns Unit, Mater Dei Hospital, Msida 2090, Malta. dunaq@maltanet.net

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|April 7, 2009

Summary

This case study details a novel reconstructive technique for severe chest wall radionecrosis. An Integra-omental flap successfully achieved complete wound closure after initial flap failure.

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Area of Science:

Oncology
Plastic Surgery
Regenerative Medicine

Background:

Radiation therapy for breast cancer can lead to chest wall complications.
Radionecrosis of soft tissue and bone presents a significant reconstructive challenge.

Observation:

A 58-year-old patient developed severe chest wall radionecrosis with infection after mastectomy and radiation.
An initial TRAM flap reconstruction failed due to ischemia and necrosis.
Vacuum-assisted closure (VAC) therapy was used to prepare the wound bed.

Findings:

A pedicled omental flap combined with Integra(R) artificial skin and a split-skin graft achieved complete wound closure.
This Integra-omental flap technique effectively reconstructed the extensive chest wall defect.

Implications:

The Integra-omental flap offers a viable solution for complex chest wall reconstruction post-radiation.
This approach may improve outcomes for patients with extensive tissue loss and infection.