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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:

Flail Chest-I

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...

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Updated: Apr 4, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Soft Tissue Reconstruction and Flap Considerations for Chest Wall Defects.

Margaret S Roubaud¹, Jessie Z Yu¹

¹Department of Plastic and Reconstructive Surgery, MD Anderson Cancer Center, University of Texas, Houston, TX, USA.

Thoracic Surgery Clinics

|April 2, 2026

Summary

This summary is machine-generated.

Soft-tissue reconstruction of the chest wall aims for durable, functional solutions protecting vital structures. Flap coverage is crucial for chest wall defects when local tissues are insufficient.

Keywords:

Chest wall Free flap Pedicled flap Reconstruction Soft tissue Thoracic

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Area of Science:

Reconstructive surgery
Thoracic surgery
Plastic surgery

Background:

Chest wall defects require specialized reconstruction for function and protection.
Adequate wound bed preparation and vascularized tissue are key to successful outcomes.
Local tissue availability often limits reconstruction options.

Purpose of the Study:

To outline considerations for soft tissue and flap selection in chest wall reconstruction.
To discuss approaches for various chest wall defects and etiologies.
To highlight the importance of flap coverage for complex wounds.

Main Methods:

Review of soft tissue and flap techniques for chest wall reconstruction.
Analysis of defect types and wound etiologies.
Emphasis on pedicled and free flap applications.

Main Results:

Pedicled and free flaps offer robust solutions for chest wall defects.
Thorough wound bed preparation is essential for optimal flap viability.
Flap choice depends on defect size, location, and patient factors.

Conclusions:

Effective chest wall reconstruction relies on appropriate soft tissue coverage.
Flap-based reconstruction provides durable and functional solutions.
Understanding flap principles is vital for managing chest wall defects.