PMID: 8585674Oct 1, 1995Paper

The long-term effects of internal mammary chain irradiation and its role in the vascular supply of the pedicled transverse rectus abdominis musculocutaneous flap breast reconstruction

Annals of Plastic Surgery
G R EvansN Janjan

Abstract

With an increase in breast-sparing surgery and adjuvant radiotherapy, there has been a concomitant increase in the complexity of breast reconstruction. The effects of radiotherapy on the internal mammary artery were evaluated with respect to flap viability for conventional transverse rectus abdominis musculocutaneous breast reconstruction using the irradiated rectus muscle. Twenty-eight women who received postoperative irradiation for breast cancer were studied. All women had unilateral irradiation, and evaluation of the internal mammary arteries was performed at least 1 year after the completion of radiotherapy to allow for fibrosis and long-term vascular changes. Examination of the internal mammary artery (upper and lower chains) was performed using color Doppler sonography to assess vessel diameter, peak systolic velocity, and blood flow. The nonirradiated side was compared to the radiated internal mammary artery as an internal control. Based on the details of prior radiotherapy, the 28 women were designated into two groups. Group I included 14 women with radiation portals that specifically treated the internal mammary chain; the average dose to the internal mammary chain was 47.44 Gy. Group II comprised 14 patients that rec...Continue Reading

Citations

Nov 17, 2012·Annales de chirurgie plastique et esthétique·E Cohen-HayounM Atlan
Nov 16, 2004·Cancer Treatment Reviews·Elzbieta Senkus-KonefkaJacek Jassem
Dec 14, 2002·British Journal of Plastic Surgery·Robert M WarnerLeRoux Fourie
Aug 1, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Julia A CookMichael W Chu
May 25, 2006·Annals of Plastic Surgery·Sean G BristolPatricia A Clugston
Jun 28, 2016·Plastic and Reconstructive Surgery·Teresa M BuescherBrian T Andrews

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