Using local flaps in a chest wall reconstruction after mastectomy for locally advanced XXXX .

@entity1 @entity0 @entity39
BACKGROUND: Surgical ablation for locally advanced @entity0 results in large chest wall defects, which can then be managed with local flaps or skin grafts. The purpose of this article is to evaluate the outcomes of three types of local skin flaps. METHODS: Among 25 local flaps in 24 @entity1 , 6 were bilateral advancement (BA) flaps, 9 were thoracoabdominal (TA) flaps, and 10 were thoracoepigastric (TE) flaps. Clinical outcomes were compared including complications, the need for a secondary surgical intervention, and the timing of adjuvant therapy. RESULTS: The mean defect size was 436.2 cm(2). Two @entity1 with TA flaps and 6 @entity1 with TE flaps developed @entity39 , and skin grafts were needed to treat 2 @entity1 with TE flaps. Radiation was administered to the BA, TA, and TE @entity1 after average postoperative durations of 28, 30, or 41 days, respectively. The incidence of flap @entity39 tended to be higher in TE @entity1 , which lead to significant delays in adjuvant radiation therapy (P=0.02). CONCLUSIONS: Three types of local skin flaps can be used to treat large chest wall defects after the excision of locally advanced @entity0 . Each flap has its own merits and demerits, and selecting flaps should be based on strict indications based on the dimensions and locations of the defects.
