Guidelines For Surgical Management of Radiation Injuries | ||||
| The Medical Journal of Ahmed Maher Teaching Hospital | ||||
| Article 2, Volume 1, Issue 10, December 2012, Page 711-715 PDF (1.15 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjam.2012.16778 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mamdouh Salah1; Yasser Taha2; Belal al Mobarak2; Mohamed Kotb2 | ||||
| 1lastic Department of Mataryia Teaching Hospital | ||||
| 2Plastic Department of Ahmed Maher Teaching Hospital | ||||
| Abstract | ||||
| Abstract : Radiation therapy is being used with increasing frequency for treatment of cancer and other disease etiologies. Despite the benefits of radiotherapy, the resultant chronic changes may be lifelong and cumulative, which will need reconstruction with well vascularized, undamaged tissues. Ten patients (5 males and 5 females) with radionecrosis and osteoradionecrosis complex wounds were treated with myocutaneous flaps after radical debridement. The results revealed sound healing in seven out of the ten patients. Persistent sinus remained in two patients and major flap necrosis in one patient. In conclusion, the guidelines for surgical management of radiation injuries are debridement of necrotic tissues, coverage with myocutaneous flap, obliteration of dead space, rule out recurrence of malignancy, restore function, and keep in mind another solution if the first flap fail | ||||
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