Abstract

Chest wall osteoradionecrosis is very rare late complication of radiotherapy that can appear many years after treatment, and usually presents as slowly progressing ulcers in a previous radiation field. Conservative treatment is usually unsuccessful, warranting surgical resection of all pathologically involved tissues, followed by chest wall reconstruction. Here we describe a case of chest wall osteoradionecrosis 31 years later after treatment, which was managed successfully by a two-staged chest wall resection and reconstruction with a muscle flap.