Plastic surgical coverage of thoracic defects

Defects in the thoracic region can have multiple origins (tumors, pediatric malformations, radiation-induced defects), whereas their treatment mostly represents a complex surgical challenge, necessitating interdisciplinary cooperation. In addition to the size of the defect, the depth and knowledge of previous diseases and operations as well as the blood flow play a pivotal role for the selection of the surgical technique. The aim is often not only defect closure but also appropiate revascularization of the damaged tissue. In this context, reconstruction options ranging from split-skin coverage to local and perforator-based flaps and free microvascular tissue transfers. The complete spectrum of plastic surgical and especially microsurgical expertise should be employed in order to guarantee optimal outcome.

Automated summary

Defects in the thoracic region can have various origins and treating them requires complex surgical procedures that involve interdisciplinary cooperation. Factors such as the size of the defect, previous medical history and surgeries, and blood flow are crucial in determining the appropriate surgical technique. The goal is not just to close the defect, but also to ensure proper revascularization of the damaged tissue. Various reconstruction options, including split-skin coverage, local and perforator-based flaps, and free microvascular tissue transfers, should be considered. Utilizing the full range of plastic surgical and especially microsurgical expertise is essential for achieving optimal outcomes.