XU Yue-ming,WANG Ru-wen,JIANG Yao-guang,GONG Tai-qian,ZHAO Yun-ping.Effect of radiotherapy on platysma myocutaneous flap after esophageal reconstruction in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(09):756-758.
XU Yue-ming,WANG Ru-wen,JIANG Yao-guang,GONG Tai-qian,ZHAO Yun-ping.Effect of radiotherapy on platysma myocutaneous flap after esophageal reconstruction in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(09):756-758.DOI:
Objective To explore the effect of radiotherapy on platysma myocutaneous flap (PMF) after esophageal reconstruction in dogs. Methods Eleven healthy adult dogs with PMF imbedding esophagus were randomly divided into three groups: prophylactic radiation dose (4 000 cGy)
radical cure radiation dose (6 400 cGy) and control group. Foodintake
early radiotherapeutic reaction of esophagus and PMF were surveyed
and stoma condition was observed with barium swallow esophagogram before and after radiation. After killing these dogs
we surveyed the compliance of PMF and esophagus
and the vitodynamics characteristics and oxyproline content of PMF. The structural changes of PMF were observed under light and electron microscope respectively. Results Three dogs died. The body weight and foodintake had no statistical difference between two radiotherapeutic groups. In the early days of radiation
mild flare and congestion in esophagoscopy were found both in esophagus and flaps
a little hair growing in flaps. No anastomotic stenosis. No significant deviation was found in the compliance of PMF stoma
vitodynamic characteristics and the oxyproline content of PMF in the three groups of dogs. Light and electron microscopy showed that except that the alignment of PMF collagen was more disordered and larger than cervical skin wounds
no more structural changes was found after radiation. Conclusion Platysma myocutaneous flaps after esophageal reconstruction in dogs might tolerate radiotherapy with usual dose.