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
European Journal of Plastic Surgery – Springer Journals
Published: Sep 27, 2016
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