Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer
Background Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap a...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2013-07-01
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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.2013.40.4.367 |
| _version_ | 1811298427217117184 |
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| author | Jung Dug Yang Dong Wan Ryu Jeong Woo Lee Kang Young Choi Ho Yun Chung Byung Chae Cho Ho Yong Park Jin Suk Byun |
| author_facet | Jung Dug Yang Dong Wan Ryu Jeong Woo Lee Kang Young Choi Ho Yun Chung Byung Chae Cho Ho Yong Park Jin Suk Byun |
| author_sort | Jung Dug Yang |
| collection | DOAJ |
| description | Background Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer.
Methods From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons.
Results The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15), the lower lateral quadrant (n=2), and the central lateral area (n=3). Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes.
Conclusions Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer. |
| first_indexed | 2024-04-13T06:19:07Z |
| format | Article |
| id | doaj.art-7fb7afc30eea4a27bacda94598e4244a |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T06:19:07Z |
| publishDate | 2013-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-7fb7afc30eea4a27bacda94598e4244a2022-12-22T02:58:43ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-07-01400436737310.5999/aps.2013.40.4.367Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast CancerJung Dug Yang0Dong Wan Ryu1Jeong Woo Lee2Kang Young Choi3Ho Yun Chung4Byung Chae Cho5Ho Yong Park6Jin Suk Byun7Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, KoreaDepartment of Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, KoreaBS Aesthetic Clinic, Daegu, KoreaBackground Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer. Methods From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons. Results The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15), the lower lateral quadrant (n=2), and the central lateral area (n=3). Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes. Conclusions Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.4.367mammaplastysurgical flapsmastectomy |
| spellingShingle | Jung Dug Yang Dong Wan Ryu Jeong Woo Lee Kang Young Choi Ho Yun Chung Byung Chae Cho Ho Yong Park Jin Suk Byun Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer Archives of Plastic Surgery mammaplasty surgical flaps mastectomy |
| title | Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer |
| title_full | Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer |
| title_fullStr | Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer |
| title_full_unstemmed | Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer |
| title_short | Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer |
| title_sort | usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer |
| topic | mammaplasty surgical flaps mastectomy |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.4.367 |
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