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Updated: Apr 4, 2026
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.
Abstract:
The goal of soft-tissue reconstruction of the chest wall is to provide durable and functional solutions over a dynamic thoracic cavity while protecting vital organs and neurovascular structures. Successful reconstruction is dependent on thorough preparation of a wound bed and well-vascularized tissue coverage. For many defects, pedicled and free flaps provide robust coverage when local tissues are scarce. This article outlines soft tissue and flap considerations for various defects and wound etiologies on the chest wall.
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01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:24Flail Chest-I
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...