A denuded "turn-over" deltopectoral flap combined with a latissimus dorsi myocutaneous flap in the repair of extensive radionecrosis of the chest wall.
For a one-stage repair of large and deep radionecrotic ulcers over the chest wall, we have used a denuded "turn-over" deltopectoral flap combined with a latissimus dorsi myocutaneous flap. With this technique we can easily cover a defect measuring over 20 x 20 cm. The deformity of the donor site on the contralateral infraclavicular region is minimal. Three illustrative cases are presented.
D000328:Adult; D001943:Breast Neoplasms / Q000532:radiotherapy; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D009336:Necrosis; D011832:Radiation Injuries / Q000601:surgery*; D012883:Skin Ulcer / Q000601:surgery; D013524:Surgical Flaps; D013898:Thoracic Injuries / Q000601:surgery*