Microsurgical flaps in the treatment of thoracic radionecrosis: a case series

Microsurgical flaps in the treatment of thoracic radionecrosis: a case series Background Radionecrosis of the thoracic wall is a late com- are the cause of the increasing complexity of thoracic plication of radiotherapy mainly found in breast cancer pa- reconstruction. We believe that the use of free flaps to provide tients. During the treatment of severe thoracic radionecrosis, large amounts of tissue or cover particularly problematic areas the aggressive ablation of a large amount of damaged tissue is can be an extremely useful tool for these patients. fundamental, making the use of healthy remote tissue provid- Level of Evidence: Level V, therapeutic study. ed by a free flap essential. However, most of the papers fo- cusing in the reconstruction of this entity are dated or case . . Keywords Radiation therapy Microvascular surgery Chest reports. This article is intended to present the utility and results Wall of reconstructive microsurgical techniques in these patients. Methods We carried out a retrospective review of the patients who underwent microsurgical reconstruction of extensive tho- racic defects associated with radionecrosis in the period 2007 Introduction to 2012 in our centre. The variables studied were sex, age, size of the lesion, type of reconstructive procedure used, the post- Radiotherapy has an essential role in the treatment http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Microsurgical flaps in the treatment of thoracic radionecrosis: a case series

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Publisher
Springer Journals
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-016-1245-z
Publisher site
See Article on Publisher Site

Abstract

Background Radionecrosis of the thoracic wall is a late com- are the cause of the increasing complexity of thoracic plication of radiotherapy mainly found in breast cancer pa- reconstruction. We believe that the use of free flaps to provide tients. During the treatment of severe thoracic radionecrosis, large amounts of tissue or cover particularly problematic areas the aggressive ablation of a large amount of damaged tissue is can be an extremely useful tool for these patients. fundamental, making the use of healthy remote tissue provid- Level of Evidence: Level V, therapeutic study. ed by a free flap essential. However, most of the papers fo- cusing in the reconstruction of this entity are dated or case . . Keywords Radiation therapy Microvascular surgery Chest reports. This article is intended to present the utility and results Wall of reconstructive microsurgical techniques in these patients. Methods We carried out a retrospective review of the patients who underwent microsurgical reconstruction of extensive tho- racic defects associated with radionecrosis in the period 2007 Introduction to 2012 in our centre. The variables studied were sex, age, size of the lesion, type of reconstructive procedure used, the post- Radiotherapy has an essential role in the treatment

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Sep 27, 2016

References

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