title: [Cervical chronic radiation ulceration reconstruction with flap after radiotherapy for nasopharyngeal carcinoma].
abstract: OBJECTIVE
  To evaluate the application of flaps or musculocutaneous flaps in repairing cervical postradiation ulcer (cpu) at nasopharyngeal carcinoma.
  
  
  METHODS
  Deltopectoral flaps and pectoralis major flaps were applied to repair cervical radiation ulceration with different size and depth in 19 cases.
  
  
  RESULTS
  Twelve cases repaired with deltopectoral flaps and 7 cases repaired with pectoralis major flaps, impaired wound healing happened at distal end of one deltopectoral flap, and the wound was healing hy second intention after debridement and dressing change. All the other deltopectoral flaps and pectoralis major flaps stayed alive. Flaps stayed alive without the recurrence of ulcer after the long-term follow-up for one to ten years.
  
  
  CONCLUSIONS
  The effectiveness of cervical radiation ulceration reconstruction by deltopectoral flaps and pectoralis major flaps was proved. The reconstruction could prevent the recurrence of ulcer. Refer to the poor prognosis of chronic radiation ulceration with expectant treatment, precautions do count.
authors.affiliation: Department of Otorhinolaryngology, the First People's Hospital of Foshan, Foshan, 528000, China.
authors.forename: Weixiong
authors.initials: W
authors.lastname: Chen
authors.forename: Yuejian
authors.initials: Y
authors.lastname: Wang
authors.forename: Jianli
authors.initials: J
authors.lastname: Zhang
authors.forename: Fayao
authors.initials: F
authors.lastname: He
authors.forename: Zhaofeng
authors.initials: Z
authors.lastname: Zhu
authors.forename: Sucheng
authors.initials: S
authors.lastname: Tang
authors.forename: Suling
authors.initials: S
authors.lastname: Luo
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000077274:Nasopharyngeal Carcinoma; D009303:Nasopharyngeal Neoplasms / Q000532:radiotherapy; D009333:Neck; D011832:Radiation Injuries / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps