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Immediate Conservative Breast Reconstruction Technique using Lateral Thoracodorsal Fasciocutaneous Flap / 한국유방암학회지
Journal of Breast Cancer ; : 217-222, 2007.
Artigo em Coreano | WPRIM | ID: wpr-195153
ABSTRACT

PURPOSE:

A lateral thoracodorsal fasciocutaneous flap (LTFF) is a local fasciocutaneous flap that has been used in breast reconstructions since the 1980s. Although the LTFF is a wellstudied reconstruction procedure after radical surgery in Western countries, there is no report in Korea. By introducing the LTFF procedure, we suggest an easy reconstruction technique that can be performed by the breast surgeon directly.

METHODS:

Patients with lateral breast cancer and redundant lateral thoracic region might be candidates for this procedure. The flap consists of the lateral and dorsal extensions of the inframammarian fold as well as an extended line from the anterior axillary line. A quadrantectomy is performed through a planned skin incision, and an axillary lymph node dissection can be performed simultaneously if the sentinel lymph node is positive. The skin and subcutaneous fat with the fascia of the serratus anterior and latissimus dorsi muscle should be dissected carefully. A wedge-shaped flap can be acquired successfully. The lateral breast defect is then reconstructed by a rotation of the flap. The axis of the flap is drawn following the inframammarian fold so that the final scar would be under the brassiere line.

RESULTS:

Nineteen patients were treated with the LTFF after breast conserving surgery. All tumors were located in lateral breast regions. Seroma occurred in three and partial fat necrosis and partial flap necrosis were observed in each one. The cosmetic result based on four-point scoring system of breast cosmesis showed excellent in seventeen and good in two.

CONCLUSION:

Despite its long scar line, with appropriate patient selection, a LTFF might be a useful method for breast reconstructions.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pele / Vértebra Cervical Áxis / Mama / Neoplasias da Mama / Mastectomia Segmentar / Cicatriz / Mamoplastia / Seleção de Pacientes / Seroma / Gordura Subcutânea Limite: Feminino / Humanos País/Região como assunto: Ásia Idioma: Coreano Revista: Journal of Breast Cancer Ano de publicação: 2007 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Pele / Vértebra Cervical Áxis / Mama / Neoplasias da Mama / Mastectomia Segmentar / Cicatriz / Mamoplastia / Seleção de Pacientes / Seroma / Gordura Subcutânea Limite: Feminino / Humanos País/Região como assunto: Ásia Idioma: Coreano Revista: Journal of Breast Cancer Ano de publicação: 2007 Tipo de documento: Artigo