Divided latissimus dorsi musculocutaneous flap for chest wall radionecrosis

A 69-year-old woman with a history of mastectomy and radiotherapy for breast carcinoma demonstrated extensive anterior thoracic wall radionecrosis 22 years later. The latissimus dorsi musculocutaneous flap was chosen to repair two distant ulcerative defects. Chest wall coverage was performed by dividing the muscle into two separate musculocutaneous flaps. Results were particularly promising 6 months after surgery.