A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis
Background Mastectomy flap necrosis is a common complication after mastectomy and immediate reconstruction with a deep inferior epigastric perforator (DIEP) flap. After abdominal free flap breast reconstruction, the most common secondary procedure is dog-ear correction of both flanks. We introduce a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Aesthetic Plastic Surgery
2018-10-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2018-24-3-153.pdf |
| _version_ | 1818250593580351488 |
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| author | Jong Hyun Choi Deuk Young Oh |
| author_facet | Jong Hyun Choi Deuk Young Oh |
| author_sort | Jong Hyun Choi |
| collection | DOAJ |
| description | Background Mastectomy flap necrosis is a common complication after mastectomy and immediate reconstruction with a deep inferior epigastric perforator (DIEP) flap. After abdominal free flap breast reconstruction, the most common secondary procedure is dog-ear correction of both flanks. We introduce a treatment for skin necrosis with a full-thickness skin graft (FTSG) using the abdominal dog-ear deformity. Methods In patients with skin necrosis of a mastectomy flap, we debrided all necrotic tissue when the demarcation was complete. We then performed an FTSG using the skin from the dog-ear correction of both flank areas. We fixed the graft with a tie-over dressing, and it was then removed on postoperative day 5. Results Skin necrosis of the mastectomy flap and dog-ear deformity were treated without any complications. The color and texture of the breasts were satisfactory. Conclusions If a patient experiences post-mastectomy skin flap necrosis and has a dog-ear deformity on both sides of the flank after a DIEP flap, a dog-ear skin flap can be a good alternative donor site for reconstruction. |
| first_indexed | 2024-12-12T15:54:51Z |
| format | Article |
| id | doaj.art-7528bbf082004f2e8f8d5c0267f816e3 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-12-12T15:54:51Z |
| publishDate | 2018-10-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-7528bbf082004f2e8f8d5c0267f816e32022-12-22T00:19:31ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372018-10-0124315315610.14730/aaps.2018.24.3.153655A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap NecrosisJong Hyun ChoiDeuk Young OhBackground Mastectomy flap necrosis is a common complication after mastectomy and immediate reconstruction with a deep inferior epigastric perforator (DIEP) flap. After abdominal free flap breast reconstruction, the most common secondary procedure is dog-ear correction of both flanks. We introduce a treatment for skin necrosis with a full-thickness skin graft (FTSG) using the abdominal dog-ear deformity. Methods In patients with skin necrosis of a mastectomy flap, we debrided all necrotic tissue when the demarcation was complete. We then performed an FTSG using the skin from the dog-ear correction of both flank areas. We fixed the graft with a tie-over dressing, and it was then removed on postoperative day 5. Results Skin necrosis of the mastectomy flap and dog-ear deformity were treated without any complications. The color and texture of the breasts were satisfactory. Conclusions If a patient experiences post-mastectomy skin flap necrosis and has a dog-ear deformity on both sides of the flank after a DIEP flap, a dog-ear skin flap can be a good alternative donor site for reconstruction.http://e-aaps.org/upload/pdf/aaps-2018-24-3-153.pdfmammaplastymastectomynecrosistissue donorstransplantation autologous |
| spellingShingle | Jong Hyun Choi Deuk Young Oh A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis Archives of Aesthetic Plastic Surgery mammaplasty mastectomy necrosis tissue donors transplantation autologous |
| title | A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis |
| title_full | A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis |
| title_fullStr | A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis |
| title_full_unstemmed | A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis |
| title_short | A New Skin Graft Donor Site Using the Abdominal Dog-Ear Deformity in Mastectomy Flap Necrosis |
| title_sort | new skin graft donor site using the abdominal dog ear deformity in mastectomy flap necrosis |
| topic | mammaplasty mastectomy necrosis tissue donors transplantation autologous |
| url | http://e-aaps.org/upload/pdf/aaps-2018-24-3-153.pdf |
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