The ages of the three patients included in this case series ranged from 42-71 years. Wound reconstruction was carried out with bilobed flap, V-Y advancement flap, and latissimus dorsi flap. The mean follow-up was 10 months (range: 6-12 months); during this period all patients presented with a significant improvement in pain. There was no recurrence of any wound during the follow-up period. Conclusion: Management of radiodermatitis induced by fluoroscopy is challenging and plastic surgeons play an important role in the treatment of radiation ulcers. Surgical treatment of these wounds should include debridement and resectioning of the entire lesion, followed by reconstruction with flaps. As pain related to the ulcer may be improved or relieved after surgery, surgical treatment should be considered in these situations.
Woyciechowsky et al. (Mon,) studied this question.