1502 / 1816
Other Technical Issues due to preop
RT
•
May have had more aggressive
cancer
•
Quality of the skin:
•
Radiation fibrosis
•
Thin, poorly vascularised flaps
•
Muscle denervation and irradiation
of pectoralis may compromise
submuscular pocket
•
May have had RT to chest wall,
internal mammary chain, axilla.
•
May have had axillary
clearance
•
Pedicles may be unreliable for
anastomosis of flap