Scientific publications

Perforator Flaps Covering Alloplastic Materials in Full-Thickness Chest Wall Defects Reconstruction: A Safe Option?

Aubá C (1), Cabello Á (1), García-Tutor E(1,)Vila A (1), Qiu SS (1), Torre W (1). (1) Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Spain; Department of Plastic and Reconstructive Surgery Hospital Universitario Guadalajara, Guadalajara, Spain; and Department of Thoracic Surgery, Clinica Universidad de Navarra, Spain.

Magazine: Plastic and Reconstructive Surgery. Global Open

Date: May 25, 2017

Thoracic Surgery Restorative and Plastic Surgery


Large full-thickness chest wall reconstruction requires an alloplastic material to ensure chest wall stability, as well as a flap that provides good soft-tissue coverage.

The choice not to use perforator flaps over any mesh or inert material is often based on the concern that the vascularization would be inadequate.

However, perforator flaps have shown good results in several reconstructive fields, minimizing donor-site morbidity and offering versatility when local tissues are unavailable or affected by radiotherapy.

In this study, we present 4 cases of patients with full-thickness chest wall defects that were repaired with a double Marlex mesh, acrylic cement (n = 2) or a double patch of Goretex (n = 2) in combination with perforator flaps (3 deep inferior epigastric artery perforators and 1 lumbar artery perforator flap).

The results we obtained are encouraging, and we believe the use of perforator flaps in combination with alloplastic materials should be considered as a reliable option for full-thickness chest wall defect reconstruction.

CITATION  Plast Reconstr Surg Glob Open. 2017 May 25;5(5):e1289

you maybe interested


The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.

Imagen de un PET, tecnología de vanguardia en la Clínica Universidad de Navarra


The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.

Imagen profesionales de la Clínica Universidad de Navarra


Learn why we are different from other healthcare centers. Quality, speed, comfort and results.

Imagen del edificio de la Clínica Universidad de Navarra