DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed Mold

Summary: Recent advances in 3-dimensional (3D) surface imaging technologies allow for digital quantification of complex breast tissue. We performed 11 unilateral breast reconstructions with deep inferior epigastric artery perforator (DIEP) flaps (5 immediate, 6 delayed) using 3D surface imaging for...

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Main Authors: Koichi Tomita, MD, PhD, Kenji Yano, MD, PhD, Yuki Hata, MD, Akimitsu Nishibayashi, MD, Ko Hosokawa, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2015-03-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/Fulltext/2015/03000/Article.15.aspx
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author Koichi Tomita, MD, PhD
Kenji Yano, MD, PhD
Yuki Hata, MD
Akimitsu Nishibayashi, MD
Ko Hosokawa, MD, PhD
author_facet Koichi Tomita, MD, PhD
Kenji Yano, MD, PhD
Yuki Hata, MD
Akimitsu Nishibayashi, MD
Ko Hosokawa, MD, PhD
author_sort Koichi Tomita, MD, PhD
collection DOAJ
description Summary: Recent advances in 3-dimensional (3D) surface imaging technologies allow for digital quantification of complex breast tissue. We performed 11 unilateral breast reconstructions with deep inferior epigastric artery perforator (DIEP) flaps (5 immediate, 6 delayed) using 3D surface imaging for easier surgery planning and 3D-printed molds for shaping the breast neoparenchyma. A single- or double-pedicle flap was preoperatively planned according to the estimated tissue volume required and estimated total flap volume. The DIEP flap was then intraoperatively shaped with a 3D-printed mold that was based on a horizontally inverted shape of the contralateral breast. Cosmetic outcomes were assessed as satisfactory, as confirmed by the postoperative 3D measurements of bilateral breasts. We believe that DIEP flap reconstruction assisted with 3D surface imaging and a 3D-printed mold is a simple and quick method for rebuilding a symmetric breast.
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spelling doaj.art-8e9990e667c6424fbbb00fab5ce132f92022-12-21T19:45:21ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742015-03-0133e31610.1097/GOX.000000000000028801720096-201503000-00015DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed MoldKoichi Tomita, MD, PhD0Kenji Yano, MD, PhD1Yuki Hata, MD2Akimitsu Nishibayashi, MD3Ko Hosokawa, MD, PhD4From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.Summary: Recent advances in 3-dimensional (3D) surface imaging technologies allow for digital quantification of complex breast tissue. We performed 11 unilateral breast reconstructions with deep inferior epigastric artery perforator (DIEP) flaps (5 immediate, 6 delayed) using 3D surface imaging for easier surgery planning and 3D-printed molds for shaping the breast neoparenchyma. A single- or double-pedicle flap was preoperatively planned according to the estimated tissue volume required and estimated total flap volume. The DIEP flap was then intraoperatively shaped with a 3D-printed mold that was based on a horizontally inverted shape of the contralateral breast. Cosmetic outcomes were assessed as satisfactory, as confirmed by the postoperative 3D measurements of bilateral breasts. We believe that DIEP flap reconstruction assisted with 3D surface imaging and a 3D-printed mold is a simple and quick method for rebuilding a symmetric breast.http://journals.lww.com/prsgo/Fulltext/2015/03000/Article.15.aspx
spellingShingle Koichi Tomita, MD, PhD
Kenji Yano, MD, PhD
Yuki Hata, MD
Akimitsu Nishibayashi, MD
Ko Hosokawa, MD, PhD
DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed Mold
Plastic and Reconstructive Surgery, Global Open
title DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed Mold
title_full DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed Mold
title_fullStr DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed Mold
title_full_unstemmed DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed Mold
title_short DIEP Flap Breast Reconstruction Using 3-dimensional Surface Imaging and a Printed Mold
title_sort diep flap breast reconstruction using 3 dimensional surface imaging and a printed mold
url http://journals.lww.com/prsgo/Fulltext/2015/03000/Article.15.aspx
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