Mendelson B C, Masson J K
Plast Reconstr Surg. 1977 Nov;60(5):681-91. doi: 10.1097/00006534-197711000-00002.
We report our experiences in treating chronic radiation injury about the shoulder, a complication of radiation after mastectomy. Left untreated, these can result in chronic infection and/or amputation. The coverage of a large shoulder area presents certain unique problems, which severely limit the usefulness of traditional procedures. We have found that the remarkable size and versatility of the latissimus dorsi myocutaneous flap enables one to use it with relative simplicity and safety. A further great advantage is that it brings new permanent blood supply into this ischemic area, thus favoring rapid healing and durable coverage.
我们报告了治疗肩部慢性放射性损伤的经验，这是乳房切除术后放疗的一种并发症。若不治疗，这些损伤可能导致慢性感染和/或截肢。大面积肩部区域的覆盖存在一些独特问题，这严重限制了传统手术的实用性。我们发现，背阔肌肌皮瓣的显著大小和多功能性使其能够相对简单且安全地使用。另一个巨大优势是它为这个缺血区域带来了新的永久性血液供应，从而有利于快速愈合和持久覆盖。
