A New Septum in the Female Breast
Background Understanding the female breast fascial system is of paramount importance in breast surgery. Little was written about breast ligaments. Most articles refer to Cooper's work without further anatomical studies. Lately, a horizontal septum has been described conveying nerves and vessel...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2017-03-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.2.101 |
| _version_ | 1798041727805685760 |
|---|---|
| author | Mostafa Abdel Rahman Awad Mahmoud Magdi Sherif Eaman Yahya Sadek Hesham Aly Helal Wafaa Raafat Abdel Hamid |
| author_facet | Mostafa Abdel Rahman Awad Mahmoud Magdi Sherif Eaman Yahya Sadek Hesham Aly Helal Wafaa Raafat Abdel Hamid |
| author_sort | Mostafa Abdel Rahman Awad |
| collection | DOAJ |
| description | Background Understanding the female breast fascial system is of paramount importance in breast surgery. Little was written about breast ligaments. Most articles refer to Cooper's work without further anatomical studies. Lately, a horizontal septum has been described conveying nerves and vessels to the nipple areola complex.
Methods During the surgical dissection of the lower part of the breast, in supero-medial technique for breast reduction operations, a fascial septum between the lower two quadrants was detected. This fibrous septum was studied through anatomic dissection of breast tissues during routine breast reshaping procedures that was done on 30 female patients. Magnetic resonance imaging (MRI) was performed preoperatively in all cases and correlated with the intraoperative findings. In the other five cases, outside the clinical study, the imaging was done during routine investigation for breast swellings.
Results A vertical septum was identified in the lower part of the breast, lying at the breast meridian between the two lower quadrants. It is a tough bi-laminated structure that extends from the middle of the infra-mammary crease caudally to nipple-areola complex cranially and from the pectoral fascia posteriorly to the overlying skin anteriorly. This was proved by MRI findings.
Conclusions This study describes a new inferior vertical septum which separates the lower half of the breast into two definite anatomical compartments: medial and lateral. |
| first_indexed | 2024-04-11T22:25:34Z |
| format | Article |
| id | doaj.art-71189386ee1e4db294e112761bd06f90 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T22:25:34Z |
| publishDate | 2017-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-71189386ee1e4db294e112761bd06f902022-12-22T03:59:45ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712017-03-01440210110810.5999/aps.2017.44.2.101769A New Septum in the Female BreastMostafa Abdel Rahman Awad0Mahmoud Magdi Sherif1Eaman Yahya Sadek2Hesham Aly Helal3Wafaa Raafat Abdel Hamid4Department of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, EgyptDepartment of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, EgyptDepartment of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, EgyptDepartment of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, EgyptDepartment of Radiodiagnosis, Ain Shams University, Cairo, EgyptBackground Understanding the female breast fascial system is of paramount importance in breast surgery. Little was written about breast ligaments. Most articles refer to Cooper's work without further anatomical studies. Lately, a horizontal septum has been described conveying nerves and vessels to the nipple areola complex. Methods During the surgical dissection of the lower part of the breast, in supero-medial technique for breast reduction operations, a fascial septum between the lower two quadrants was detected. This fibrous septum was studied through anatomic dissection of breast tissues during routine breast reshaping procedures that was done on 30 female patients. Magnetic resonance imaging (MRI) was performed preoperatively in all cases and correlated with the intraoperative findings. In the other five cases, outside the clinical study, the imaging was done during routine investigation for breast swellings. Results A vertical septum was identified in the lower part of the breast, lying at the breast meridian between the two lower quadrants. It is a tough bi-laminated structure that extends from the middle of the infra-mammary crease caudally to nipple-areola complex cranially and from the pectoral fascia posteriorly to the overlying skin anteriorly. This was proved by MRI findings. Conclusions This study describes a new inferior vertical septum which separates the lower half of the breast into two definite anatomical compartments: medial and lateral.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.2.101breastmammaplastyfascialigaments |
| spellingShingle | Mostafa Abdel Rahman Awad Mahmoud Magdi Sherif Eaman Yahya Sadek Hesham Aly Helal Wafaa Raafat Abdel Hamid A New Septum in the Female Breast Archives of Plastic Surgery breast mammaplasty fascia ligaments |
| title | A New Septum in the Female Breast |
| title_full | A New Septum in the Female Breast |
| title_fullStr | A New Septum in the Female Breast |
| title_full_unstemmed | A New Septum in the Female Breast |
| title_short | A New Septum in the Female Breast |
| title_sort | new septum in the female breast |
| topic | breast mammaplasty fascia ligaments |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.2.101 |
| work_keys_str_mv | AT mostafaabdelrahmanawad anewseptuminthefemalebreast AT mahmoudmagdisherif anewseptuminthefemalebreast AT eamanyahyasadek anewseptuminthefemalebreast AT heshamalyhelal anewseptuminthefemalebreast AT wafaaraafatabdelhamid anewseptuminthefemalebreast AT mostafaabdelrahmanawad newseptuminthefemalebreast AT mahmoudmagdisherif newseptuminthefemalebreast AT eamanyahyasadek newseptuminthefemalebreast AT heshamalyhelal newseptuminthefemalebreast AT wafaaraafatabdelhamid newseptuminthefemalebreast |