[Treatment of radiation necrosis of skin, muscle and bone in oncology].
Following the wide excision of radiation necrosis, the treatment of these lesions has been transformed by the use of the myocutaneous flap technique. The most widely used, flaps are latissimus dorsi flaps for chest wall, subclavicular defects, pectoralis major flaps for defects of the neck and lower part of the face, fascia lata flaps to treat lesions of the groin and lower abdominal wall, gracilis flaps for perineal defects, gluteus maximus flaps for the ischial and sacral region. Due to their good blood supply and their thickness, they can be used to repair large defects and they ensure very good protection against infection. Omentum can be useful when a myocutaneous flap cannot be performed or in association with this flap. Good cosmetic results can be obtained with free myocutaneous flaps for lesions located on the head or on the limbs. Such flaps require micro vascular anastomoses.
Bobin
J Y
JY
Centre Léon-Bérard, Lyon.
Crozet
B
B
D006801:Humans; D009132:Muscles / Q000473:pathology; D009336:Necrosis; D010020:Osteonecrosis; D011832:Radiation Injuries / Q000601:surgery*; D012867:Skin / Q000473:pathology; D013524:Surgical Flaps
Le traitement des radionécroses de plans de couverture en cancérologie.