Experiences when irradiating grafts and flaps for skin cancer

Dwyer, Liam J; Haddad, Roger L; Fogarty, Gerald B

doi:10.15406/ijrrt.2020.07.00268

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…Since these standard treatments failed to prevent recurrence [ 10 ], we elected to incorporate postoperative radiotherapy to enhance our surgical approach and reduce recurrence rates [ 11 , 15 ]. It should be noted, though, that skin grafts tend to be less resistant to radiotherapy [ 21 ], potentially leading to complications such as epidermolysis and graft discoloration issues that are less apparent in darker skin individuals (discussed further in Case 2). Another viable option is free tissue transfer.…”

Section: Discussionmentioning

confidence: 99%

An approach to achieve tension-free closure and mitigate recurrence in the management of recurrent cervical keloids

Lohasammakul,

Jyot,

Chaiyasate

2024

Journal of Surgical Case Reports

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Keloid is a burdensome condition that negatively affects patient’s quality of life. It is influenced by a spectrum of risk factors, including tension. We propose an approach to address the tension-free closure and optimize surgical outcomes in neck keloid. A retrospective review of neck keloid patients who underwent surgical treatment between 2014 and 2022 was performed. Five patients underwent surgical interventions. Two patients had sufficient and three had insufficient tissue redundancy. The former underwent keloid excision with tension-free closure. The latter underwent keloid excision with full thickness skin graft for tension-free closure. One patient required re-excision with free flap coverage. All patients received postoperative low dose radiation. All patients were satisfied with the results and there were no signs of keloid recurrence during the follow-up period. Tension during closure following keloid excision is a modifiable risk factor. An appropriate algorithm providing tension-free closure can minimize the recurrence.

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Section: Discussionmentioning

confidence: 99%

An approach to achieve tension-free closure and mitigate recurrence in the management of recurrent cervical keloids

Lohasammakul,

Jyot,

Chaiyasate

2024

Journal of Surgical Case Reports

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Experiences in growing a skin radiation therapy practice

Fogarty¹,

Christie²,

Wong³

et al. 2020

IJRRT

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The successful treatment of skin disease decreases morbidity and mortality. Radiation therapy (RT) can cure skin disease and conserves tissue, possibly delivering better quality of life post treatment and so a superior survivorship. Modern RT delivers better dose conformality and homogeneity, and more is known about the radiobiology of skin and its diseases, enabling treatment personalisation. Skin, however, can be viewed in RT departments as not a serious subspecialty, even in Australia where the incidence of skin cancer is highest. Radiation oncology leaders are needed to carve out a niche for RT amongst a crowded field of skin carers. This article based on the cumulative experience of a group of Australian skin radiation oncologists (ROs), details how this may be achieved. First, focus is placed on growing a high-quality service. The RO needs to understand how patient, tumour and treatment factors impact the skin RT prescription. The particular nuances around skin RT planning, including immobilisation, simulation, contouring and the advantages and disadvantages of each RT modality in skin, are important to know. How skin reacts to RT when the skin is the target and the importance of fractionation is essential knowledge. Second, the RO needs to understand the needs of the skin stakeholders. These include those in the department who look to them for leadership. It includes those outside the department, that is, patients and other skin carers who could be future colleagues and even referrers. Third, the RO needs to use much needed research as a way to bring the disparate skin caring community together through completing high-quality research to guide therapy and post-treatment care.

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Biodegradable Temporising Matrix for Lower Limb Reconstruction following the Resection of Giant Marjolin’s Ulcer

MacDiarmid

Butler

2022

EBJ

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NovoSorb® Biodegradable Temporising Matrix (BTM) is a synthetic matrix used as an adjunct in the reconstruction of certain complex wounds. We present a gentleman who sustained severe full-thickness lower limb burns as a child which were treated with split-thickness skin grafts. In later life, he went on to develop bilateral non-healing ulcers, resulting in a left above-knee amputation and a giant circumferential right lower limb squamous cell carcinoma (SCC) encompassing the majority of the lower leg. Surgical resection and salvage of the single remaining limb was achieved with the successful application of a BTM. BTM has proven to be successful in reconstructing a small number of SCC wounds; however, to the best of our knowledge, we are the first authors to test its application in the reconstruction of a circumferential defect associated with a giant lower limb Marjolin’s ulcer.

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Experiences when irradiating grafts and flaps for skin cancer

Cited by 3 publications

References 11 publications

An approach to achieve tension-free closure and mitigate recurrence in the management of recurrent cervical keloids

An approach to achieve tension-free closure and mitigate recurrence in the management of recurrent cervical keloids

Experiences in growing a skin radiation therapy practice

Biodegradable Temporising Matrix for Lower Limb Reconstruction following the Resection of Giant Marjolin’s Ulcer

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