Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts.
10.5999/aps.2012.39.5.489
- Author:
Jung Dug YANG
1
;
Min Chul KIM
;
Jeong Woo LEE
;
Young Kyoo CHO
;
Kang Young CHOI
;
Ho Yun CHUNG
;
Byung Chae CHO
;
Ho Yong PARK
Author Information
1. Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea. lambyang@paran.com
- Publication Type:Original Article
- Keywords:
Breast neoplasms;
Mammaplasty;
Surgical flaps
- MeSH:
Arteries;
Breast;
Breast Neoplasms;
Congenital Abnormalities;
Cosmetics;
Displacement (Psychology);
Estrogens, Conjugated (USP);
Fat Necrosis;
Female;
Follow-Up Studies;
Humans;
Mammaplasty;
Mastectomy, Segmental;
Perforator Flap;
Surgical Flaps
- From:Archives of Plastic Surgery
2012;39(5):489-496
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In Korean women, many of whom have small to moderate-sized breasts, it is difficult to cover a partial breast defect using oncoplastic volume displacement techniques after removal of an adequate volume of tissue during oncologic surgery. In such cases, oncoplastic volume replacement techniques are more useful. METHODS: From January 2007 to December 2011, 104 women underwent a total of 107 breast-conserving surgeries with various kinds of oncoplastic volume replacement techniques. We used latissimus dorsi (LD) myocutaneous flap for cases in which the resection mass was greater than 150 g. In case with a resection mass less than 150 g, we used regional flaps such as a lateral thoracodorsal flap, a thoracoepigastric flap, or perforator flaps such as an intercostal artery perforator (ICAP) flap or a thoracodorsal artery perforator (TDAP) flap. RESULTS: The mean age was 46.1 years, and the average follow-up interval was 10.3 months. The patients underwent oncoplastic volume replacement techniques with a lateral thoracodorsal flap (n=9), thoracoepigastric flap (n=7), ICAP flap (n=25), TDAP flap (n=12), and LD flap (n=54). There was one case of congestion in an LD flap, and two cases of fat necrosis in an ICAP flap. Most of the patients were satisfied with the cosmetic results. CONCLUSIONS: Oncoplastic volume replacement techniques can be reliable and useful for the correction of breast deformity after breast-conserving surgery, especially in patients with small to moderate-sized breasts.
