|
KMID : 0358819920190040693
|
|
Journal of Korean Society of Plastic and Reconstructive Surgeons
1992 Volume.19 No. 4 p.693 ~ p.700
|
|
|
RECONSTRUCTION OF POST
|
|
박선호/Park, Son Ho
이정윤/안희창/한예식/Lee, Jung Youn/Ahn, Hee Chang/Han, Yea Sik
|
|
|
Abstract
|
|
|
In recent years, we are seeing an increasing number of patients with post radiation chronic wounds. Chronic radiation ulcer following radiotherapy includes necrosis of the skin, subcutaneous tissue, underlying cartilage and bone, and consequent exposure of vital structure (brain, heart, pericardium, pleura, tendon).
Exposure of vital structures (brain, heart, pericardium, pleura, tendon).
Chronic radiation ulcers require major surgical treatment and in cases of unsuccessful conservative treatment, and in cases of exposure of vital vital structures.
Conventional procedure i,o reconstruct defects following wide excisions of radiation ulcer with or without cancer involve the use of skin grafts or local flaps.
However, the poor vascularity of recipient bed is the reason for the high failure rate of skin grafts.
Radiation jeoperdizes the transfer of local flaps because radiation itself injures tissue within the flap itself. Distant flaps allow repair of healthy tissue, but these complicated multistaged procedures require prolonged hospitalization and causes unsuitable large defects.
Good vascularity and a sufficient size of flap is recommended for coverage of large defects and infection control with antibiotics well transfered into defect area because, main advantage of myocutaneous flap and free flap are capability of resurfacing large wound in one step using tissue transposed from the aiea far from the radiation field.
Post operative remained infection is well controlled due to antibiotics transfered into defect site by good vascularity.
The auther´s experience using myocutaneous flaps and free flaps healed severe radiatioun
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|