Clinical application of lateral thoracic wall adipofascial flap in immediate mammoplasty
10.3760/cma.j.issn.1674-6090.2015.05.002
- VernacularTitle:侧胸壁脂肪筋膜瓣在乳腺外科手术中的应用
- Author:
Shengying WANG
;
Shikai HONG
;
Xucai ZHENG
;
Hong GAO
;
Song LIU
;
Yuanyuan ZHAO
- Publication Type:Journal Article
- Keywords:
Lateral thoracic wall adipofascial flap;
Mammoplasty;
Nipple-areola complex preser-ving;
Modified radical mastectomy;
Segmental mastectomy
- From:
Chinese Journal of Endocrine Surgery
2015;(5):356-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the operative indication , therapeutic effects and feasibility of immedi-ate mammoplasty with lateral thoracic steato-fascia flap.Methods A retrospective study was carried out on clini-copathologic data of 26 patients receiving nipple-areola complex preserving modified radical mastectomy and im-mediate mammoplasty with lateral thoracic wall adipofascial flap and 5 patients receiving segmental mastectomy and immediate mammoplasty with lateral thoracic wall adipofascial flap because of benign breast diseases .In these patients receiving nipple-areola complex preserving modified radical mastectomy , 22 patients received lateral tho-racic wall adipofascial flap , and 4 patients received lateral thoracic wall adipofascial flap combined with silicone prosthesis .The surgical complications and cosmetic effects were evaluated by both subjective and objective stand -ard postoperatively .Results 24 patients were satisfied with the appearance of their breasts and the two sides seemed to be symmetrical .There was no flap or nipple necrosis .The patients received adjuvant chemotherapy after surgery.No local recurrence or distant metastasis occurred during the follow up (2 to 12 months).Five patients with benign breast diseases were very satisfied with their breast appearance after surgery .Conclusion For patients in early stage breast cancer receiving modified radical mastectomy with nipple-areolar complex preserved and patients with benign breast diseases having segmental mastectomy , immediate mammoplasty with lateral thoracic wall adipo-fascial flap is a good method which can help to keep well breast apperance without additional incision , and it is also economical , feasible , and can reduce patients'psychological pressure due to loss of the breast .
