仅用肌皮瓣足以重建胸壁放射性骨坏死吗？
Is myocutaneous flap alone sufficient for reconstruction of chest wall osteoradionecrosis?
作者信息
Makboul Mohamed, Salama Ayyad Mohamed A K
机构信息
Department of Plastic and Reconstruction Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt.
出版信息
Interact Cardiovasc Thorac Surg. 2012 Sep;15(3):447-51. doi: 10.1093/icvts/ivs146. Epub 2012 May 25.
OBJECTIVES
This study was carried out to determine whether the myocutaneous flap, alone, is sufficient to reconstruct a chest wall defect after osteoradionecrosis and provide satisfactory stability to the chest wall.
METHODS
This study involved five patients who were subjected to post-mastectomy radiotherapy as a treatment for breast cancer. Excision of the ulcer and all the necrotic ribs, with preservation of the parietal pleura and reconstruction with the latissimus dorsi flap, was done without the use of either an artificial prosthesis or autologous rib to reconstruct the chest wall defect.
RESULTS
Clinical and radiological follow-up showed no complications regarding respiratory impairment or pleural complications.
CONCLUSIONS
The use of myocutaneous flap in patients with chest wall defect following osteoradionecrosis is satisfactory to cover the chest wall defect and provide satisfactory stability to the chest wall.
目的
本研究旨在确定肌皮瓣单独使用是否足以重建放射性骨坏死术后的胸壁缺损，并为胸壁提供令人满意的稳定性。
方法
本研究纳入了5例因乳腺癌接受乳房切除术后放疗的患者。在不使用人工假体或自体肋骨重建胸壁缺损的情况下，切除溃疡和所有坏死肋骨，保留壁层胸膜，并用背阔肌瓣进行重建。
结果
临床和影像学随访显示，未出现呼吸功能损害或胸膜并发症等并发症。
结论
对于放射性骨坏死术后胸壁缺损的患者，使用肌皮瓣覆盖胸壁缺损并为胸壁提供令人满意的稳定性是可行的。
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