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CC BY-NC-ND 4.0 · Indian J Plast Surg 1996; 29(01): 001-004
DOI: 10.1055/s-0043-1774675
Review Article

Management of Post Radiotherapy Radionecrotic Ulcer in Carcinoma Breast Patients Using Tram Flap

Gautam Biswas
Dept of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh
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Summary

Radiation as a modality of management in malignancy, especially for carcinoma of breast is well established. However, the deleterious effect of radiation on normal tissue, is still witnessed. Four patients of advanced breast malignancy, who underwent radical mastectomy followed by adjuvant radiotherapy presented with radiation ulcers of the chest, between 1993-1994. Soft tissue break down over the irradiated site occurred as late as two to three years following irradiation. All patients were tumour negative.

Excision of involved irradiated tissue was followed by reconstruction using the pedicled Transverse Rectus Abdominis Myocutaneous Flap (TRAM). This fulfilled the twin goals of well vascularized flap coverage and restoration of form in a single stage.



Publication History

Article published online:
04 September 2023

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