Reconstruction of the radiation-damaged chest wall

Journal Article · Sun Oct 01 00:00:00 EDT 1989 · Surgical Clinics of North America; (USA)

OSTI ID:5466944

Arnold, P G; Pairolero, P C ^[1]

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1. Mayo Medical School, Rochester, MN (USA)

In the patient with a radiation ulcer of the chest wall, the first question is whether the lesion contains persistent or recurrent cancer. It is also important to determine whether any other local problems such as mediastinal abscess may interfere with the reconstruction. Whether or not cancer is present, all nonviable tissue must be removed. If cancer is not present, and a partial thickness of the chest remains, the authors prefer transposition of the greater omentum for repair. If cancer is present, the physiologic defect resulting from cancer resection and wound debridement is far more severe, and a muscle or musculocutaneous flap usually is appropriate. The pectoralis major, latissimus dorsi, external oblique, rectus abdominis, and trapezius muscles have been utilized; the authors most often use the pectoralis or latissimus muscles. 27 references.

• OSTI ID: 5466944
• Journal Information: Surgical Clinics of North America; (USA), Vol. 69:5; ISSN 0039-6109
• Country of Publication: United States
• Language: English

Related Subjects

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
62 RADIOLOGY AND NUCLEAR MEDICINE
CHEST
BIOLOGICAL REPAIR
WOUNDS
HEALING
MEDIASTINUM
NEOPLASMS
PATIENTS
RADIATION INJURIES
REVIEWS
SURGERY
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BIOLOGICAL RECOVERY
BODY
BODY AREAS
DISEASES
DOCUMENT TYPES
INJURIES
MEDICINE
RADIATION EFFECTS
RECOVERY
REPAIR
560151* - Radiation Effects on Animals- Man
550600 - Medicine