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(a) Radiated chest wound. (b) Chest wound at initial presentation. (c) Wound after debridement of rib and cartilage and 3 days of NPWTi-d. (d) Excision of radiated skin at end of NPWTi-d. (e) 6 weeks following chest wall reconstruction with latissimus flap. NPWTi-d indicates negative pressure wound therapy with instillation and dwell time.
