Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts
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 tech...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2012-09-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.5.489 |
| _version_ | 1811298421772910592 |
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| author | Jung Dug Yang Min Chul Kim Jeong Woo Lee Young Kyoo Cho Kang Young Choi Ho Yun Chung Byung Chae Cho Ho Yong Park |
| author_facet | Jung Dug Yang Min Chul Kim Jeong Woo Lee Young Kyoo Cho Kang Young Choi Ho Yun Chung Byung Chae Cho Ho Yong Park |
| author_sort | Jung Dug Yang |
| collection | DOAJ |
| description | 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. |
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| format | Article |
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| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T06:19:01Z |
| publishDate | 2012-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-65b432326fae410aaca912b539f1dcad2022-12-22T02:58:43ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-09-01390548949610.5999/aps.2012.39.5.489Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized BreastsJung Dug Yang0Min Chul Kim1Jeong Woo Lee2Young Kyoo Cho3Kang Young Choi4Ho Yun Chung5Byung Chae Cho6Ho Yong Park7Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, KoreaDepartment of Surgery, Kyungpook National University School of Medicine, Daegu, KoreaBackground 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.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.5.489breast neoplasmsmammaplastysurgical flaps |
| spellingShingle | Jung Dug Yang Min Chul Kim Jeong Woo Lee Young Kyoo Cho Kang Young Choi Ho Yun Chung Byung Chae Cho Ho Yong Park Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts Archives of Plastic Surgery breast neoplasms mammaplasty surgical flaps |
| title | Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts |
| title_full | Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts |
| title_fullStr | Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts |
| title_full_unstemmed | Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts |
| title_short | Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts |
| title_sort | usefulness of oncoplastic volume replacement techniques after breast conserving surgery in small to moderate sized breasts |
| topic | breast neoplasms mammaplasty surgical flaps |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.5.489 |
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