Surgical management for large chest keloids with internal mammary artery perforator flap

Abstract Therapy for large symptomatic keloids is often plagued with complicated reconstruction manner and recurrence. This article reports a rare treatment combination for a chest keloid with internal mammary artery perforator flap reconstruction and radiation therapy. We excised the keloid and covered the defect with an internal mammary artery perforator flap. Immediate electron-beam irradiation therapy was applied on the second postoperative day. There was no sign of recurrence over the follow-up period of 18 months. The combination of internal mammary artery perforator flap and immediate radiation therapy is useful when faced with chest keloids of similar magnitude and intractability.

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Bibliographic Details
Main Authors: Xue,Dan, Qian,Huan
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Dermatologia 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000100103
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