Repair radiation ulcer with thoracic costal chondritis by musculocutaneous flap
AIM: To explore the treatment of radiation ulcer with thoracic costal chondritis. METHODS: We followed the procedures of clearing the necrotic, degenerative and infected tissue thoroughly, repairing the wound and reconstructing the affected breast by TRAM flap and latissimus dorsi myocutaneous flap after enlarged resection of the scar and the fibrotic tissue. RESULTS: Four cases were treated by TRAM flap and another 4 cases by latissimus dorsi myocutaneous flap. Of the 8 cases, 7 patients achieved primary healing in 2 weeks. Healing was delayed in the other one case because of local infection from dead space and hydrops in the pedicel tunnel, which was solved by skin graft after the treatment of hydropathic compression and dressing changing. CONCLUSION: It is a good surgical method to repair radiation ulcer with thoracic costal chondritis by musculocutaneous flap.
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NSTL
万方数据
维普
