Huang Guangfu , Ren Linsheng , He Shirong.
  • The First University Hospital, West China University of Medical Sciences, Chengdu. 610041.;
Radiation ulcer; Myocutaneous flap; Neck and chest.
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The experience of the treatment of 5 thoracic ulcers and 1 large and deep neck ulcer was reported. Vascularized latissimus dorsi and rectus abdominis myocutaneous flaps were used to treat the ulcers with one failure. No recurrence was foundduring the followup from one to five years. In the early stage of acute inflammatory necrosis, treatment was focused on debridement. In order to remove the necrotic tissue and provide good drainage, it was not appropriate to cover the wound immediately. In the chronic stage, the radiation ulcers with their adjacent tissues should be excised. Island myocutaneous flap and axial pattern skin flap were selected to repair the wound. If the wound was too large, two flaps may be combined to cover it. No matter what kind of flap was chosen, the donor site should be far away from the ulcer.

Citation： Huang Guangfu,Ren Linsheng,He Shirong.. SURGICAL MANAGEMENT OF THORACIC AND NECK RADIATION ULCE. Chinese Journal of Reparative and Reconstructive Surgery, 1995, 9(4): 224-225. doi: Copy