Diagnosis and operative treatment of radiation-induced brachial plexopathy.
OBJECTIVE
To explore the diagnosis and operative treatment of radiation-induced brachial plexopathy.


METHODS
Nine cases of radiation-induced brachial plexopathy were divided into two groups, 4 cases undergoing neurolysis of brachial plexus as Group A and 5 cases undergoing transfer of myocutaneous flaps after neurolysis as Group B. In Group B, 4 cases were treated with latissimus dorsi myocutaneous flaps (about 20 cm x 20 cm) and 1 case with pectoralis major myocutaneous flap (about 8 cm x 6 cm).


RESULTS
All the 9 cases of radiation-induced brachial plexopathy were followed up for a period of 2 to 5 years, with an average of 2.3 years. As far as pain relief and function recovery were concerned, the results of Group B were better than those of Group A.


CONCLUSIONS
Based on the results of Group B in the series, we suggest that the procedure of covering the wounds with transferred myocutaneous flaps after neurolysis of the brachial plexus should be performed to those advanced patients. The procedure may improve the blood supply of the fibrotic brachial plexus by reestablishing a good nerve bed.
Lu
Laijin
L
Department of Hand Surgery, First Hospital Affiliated to Jilin University, Changchun 130021, China. Lulaijin@public.cc.jl.cn
Gong
Xu
X
Liu
Zhigang
Z
Wang
Dongsheng
D
Zhang
Zhixin
Z
D000328:Adult; D020516:Brachial Plexus Neuropathies / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D001943:Breast Neoplasms / Q000175:diagnosis / Q000532:radiotherapy* / Q000601:surgery; D018567:Breast Neoplasms, Male / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery; D005260:Female; D006085:Graft Survival; D006801:Humans; D008297:Male; D008408:Mastectomy / Q000379:methods; D008875:Middle Aged; D009416:Nerve Regeneration / Q000502:physiology; D011379:Prognosis; D011446:Prospective Studies; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000175:diagnosis* / Q000601:surgery*; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects*; D018570:Risk Assessment; D012494:Sampling Studies; D013524:Surgical Flaps; D014182:Transplantation, Autologous