China Journal of Leprosy and Skin Diseases ›› 2024, Vol. 40 ›› Issue (11): 792-794.doi: 10.12144/zgmfskin202411792

• Clinical Researches • Previous Articles     Next Articles

Efficacy of internal mammary artery perforator flap combined with superficial X-ray radiotherapy for anterior chest wall keloid in female patients

XIE Kai1,2, LIU Guoyan1,2, CAO Nan1,2, XIE Weixing1,2, WANG Xiuhuan1,2, WU Yilei1,2   

  1. 1 Hospital for Skin Diseases, Shandong First Medical University, Jinan 250022, China; 2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2024-11-15 Published:2024-10-14

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Abstract: Objective: To assess the efficacy of internal mammary artery perforator (IMAP) flap combined with superficial X-ray radiotherapy for anterior chest wall keloid in female patients. Methods: The data of eight female patients with chest keloid treated with IMAP flap combined with superficial X-ray radiotherapy after operation in our hospital from December 2022 to January 2024 were analyzed retrospectively. Results: Of 8 patients, four had sinus and two had ulceration. The size of keloid ranged from 3.5 cm×5 cm to 11 cm×5 cm. All IMAP flaps survived well. The patients were satisfied with the breast shape and symmetry after operation. During the follow-up period, no scar hyperplasia recurred and radiation-related carcinogenesis were observed. The symptoms of pulling, pain and itching were significantly relieved. Conclusions: IMAP flap repair combined with superficial X-ray radiotherapy can effectively reduce the tension of the operative area, and which can preserve the good breast shape.

Key words: keloid, internal mammary artery, perforator flap, radiotherapy