Reconstruction of chronic radiation-induced ulcers in the chest wall using free and pedicle flaps

Bo Zhou, Ying Long, Sha Li et al.
Reconstruction of chronic radiation-induced ulcers in the chest wall using free and pedicle flaps
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Background and purpose

 Resection of radiation-induced ulcers often causes full-thickness defects of the chest wall. We retrospectively reviewed and evaluated 17 patients to explore a method of chest wall reconstruction.

Materials and methods

 A total of 17 breast cancer patients with radiation-induced ulcers were included. Various type of prostheses and flaps were used, results of clinic were evaluated.

Conclusions

Distant pedicle or free flap can used for soft tissue defect coverage, for those severe patients with full-thickness defects and used prostheses, free deep inferior epigastric perforator flap in combination with a contralateral transverse rectus abdominis myocutaneous flap (TRAM + DIEP) would be an applicable choice.

Read the full study here:  https://pubmed.ncbi.nlm.nih.gov/36425887/ 

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