Reconstruction of secondary breast deformity after breast conservative therapy
10.3760/cma.j.issn.1671-0290.2012.05.009
- VernacularTitle:乳腺癌保乳术后乳房畸形修复手术的选择
- Author:
Zhaohe NIU
;
Bo MA
;
Weihong CAO
;
Lei ZHANG
;
Haibo WANG
- Publication Type:Journal Article
- Keywords:
Breast secondary deformity;
Breast conserving therapy;
Reconstruction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2012;(5):347-349
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the causes of secondary breast deformity after breast conservative therapy and its preventive methods.Methods 30 cases were selected from the patients with secondary breast deformity of more than 1 year after breast conservative therapy,and more than half a year after radiotherapy and chemotherapy,and no local recurrence and distant metastasis occurred.After cicatrectomy and contracture loose solution,different methods were used according to varying degrees of the secondary breast deformity to reconstruct and repair the deformity.Results Three reconstructive methods were conducted.Local mammary flaps were used in 7 patients,latissimus dorsi myocutaneous flap in 21 patients,and transverse rectus abdominal musculocutaneous flaps in 2 patients.The shape and feeling were satisfactory in 30 patients with reconstructive breasts,in which 23were excellent (76.7 ％),and 7 were good (23.3 ％).All the patients were followed-up for average 2.5 years,and they were survived without tumor recurrence.Conclusions The secondary breast deformity after breast conservative therapy could be effectively prevented,and successfully reconstructed and repaired with different procedure according to varying degrees of the secondary breast deformity.As a result,the shape and feeling of reconstructive breasts are satisfactory.
