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Repair of Radiation Ulcers After Breast Cancer Surgery With Simple Local Random Flaps.

Gaofei Wang1, Jialin Meng2, Wen Huang1

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|November 11, 2024
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Summary

The local random long neck reading man flap (LNRMF) effectively repairs large radiation ulcers after breast cancer surgery. This technique offers good outcomes with minimal complications, promoting wider use in reconstructive surgery.

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Area of Science:

  • Plastic Surgery
  • Oncology
  • Wound Healing

Background:

  • Radiation ulcers post-breast cancer surgery often require complex flap repairs.
  • Existing methods like pedicled or free flaps carry risks of failure and donor site issues.
  • Local random flaps and skin grafts are less suitable for large defects and poor healing.

Purpose of the Study:

  • To evaluate the efficacy of the local random long neck reading man flap (LNRMF) for repairing large chest wall radiation ulcers.
  • To assess the outcomes and complications associated with using LNRMFs in this patient population.

Main Methods:

  • Eight patients with radiation ulcers post-breast cancer surgery were treated.
  • Surgical debridement of necrotic tissue was performed.
  • Wounds were repaired using the LNRMF technique.
  • Wound size ranged from 6 cm × 8 cm to 15 cm × 16 cm.

Main Results:

  • All eight patients achieved successful healing after the initial surgery.
  • No infections, necrosis, or flap loss were observed.
  • Average Visual Analog Scale score was 2.5, indicating good pain management.
  • Follow-up (2-6 months) showed minimal scarring and preserved shoulder function in most patients.

Conclusions:

  • The LNRMF is a simple and effective method for repairing large radiation ulcers after breast cancer surgery.
  • This technique demonstrates good outcomes and can be promoted for widespread use, especially at the grassroots level.