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Updated: Jun 24, 2026
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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
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.
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.
