Wojtanowski M H, Mandel M A
Am J Surg. 1979 Sep;138(3):434-8. doi: 10.1016/0002-9610(79)90279-4.
Four patients with disabling radiation defects of the chest involving skeletal and soft tissues were successfully treated with a one stage breast flap. Closure of the defect resulted after an uncomplicated and safe operation. Safety and reduced morbidity are hallmarks of the breast flap repair for this difficult problem. Although alternative methods can be used, the preparation of staged flaps and postoperative problems in major myocutaneous flaps increase the risk of such therapy and the hospital stay for these elderly, debilitated patients. The low morbidity of this one stage flap with a minimal hospital stay make this treatment a very viable and appealing alternative for patients whose long-term prognosis is exceedingly poor.
4例患有累及骨骼和软组织的胸部致残性放射性缺损的患者通过一期乳房瓣成功治愈。在进行了一次简单安全的手术后缺损得以闭合。安全性和降低发病率是针对这一难题的乳房瓣修复的标志。虽然可以使用其他方法，但分期瓣的制备以及主要肌皮瓣的术后问题增加了此类治疗的风险以及这些老年体弱患者的住院时间。这种一期瓣发病率低且住院时间最短，对于长期预后极差的患者而言，使这种治疗成为一种非常可行且有吸引力的选择。
