Related Experiment Video
Updated: Apr 20, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
949
Multi-staged flap reconstruction for complex radiation thoracic ulcer.
Rita Valença-Filipe1, Ricardo Horta1, Joana Costa1
1Department of Plastic, Reconstructive and Aesthetic Surgery, Maxillofacial Surgery, and Burn Unit, Centro Hospitalar de São João, Porto University Medical School, Porto, Portugal.
International Journal of Surgery Case Reports
|December 2, 2014
Summary
Chest wall reconstruction after radiation therapy is complex. Multi-staged flap reconstruction can successfully salvage large defects when initial attempts fail, emphasizing individualized patient care.
Area of Science:
- Thoracic Surgery
- Plastic and Reconstructive Surgery
Background:
- Chest wall reconstruction following radiation therapy presents significant challenges.
- A multidisciplinary approach is often necessary for complex cases.
Purpose of the Study:
- To present a case of complex chest wall reconstruction.
- To highlight the utility of multi-staged flap reconstruction as a salvage procedure.
Main Methods:
- A case of an 84-year-old woman with a large chest wall defect due to radionecrosis is described.
- Initial reconstruction with a pedicled omental flap was followed by debridements and multi-staged flap reconstruction due to partial flap necrosis.
Main Results:
- The case demonstrates the successful application of multi-staged flap reconstruction for a large, complex chest wall defect.
- This approach addressed complications arising from initial reconstructive efforts.
Conclusions:
- Individualized reconstructive choices based on patient and local factors are crucial.
- Surgical teams must be proficient in various pedicled flap techniques for chest wall reconstruction, especially when complications arise.
