[Surgical therapy of late x-ray-induced skin lesions]

The method as well as the degree of surgery in treatment of skin lesions induced by radiation must be individually planned, considering site and severity of the lesions. On account of insufficient blood supply and, consequently, high susceptibility to infection, only myocutaneous or full thickness grafts are suitable for the covering of the defects. Due to reduced elasticity, high tension at the receptor site often leads to rejection of the transplant. These problems are illustrated by some cases showing lesions on the face, breast, and abdominal wall; the difficulties of treatment are discussed.