Alternative technique for the treatment of osteonecrosis in breasts: description and results
Introduction: This work describes and presents the results of an alternative technique for treating steatonecrosis by liposuction using a specific cannula, with good physical and imaging results. Steatonecrosis is a complication that frequently occurs during mammary surgeries, especially during mamm...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Cirurgia Plástica
2018-09-01
|
| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2161/en_v33n3a07.pdf |
| _version_ | 1797412054488842240 |
|---|---|
| author | Leonardo David Pires Barcelos Ognev Meireles Cozac Marcela Caetano Cammarota Leonardo Martins Costa Daher Milena Carvalho Almeida Galdino Ismar Ribeiro |
| author_facet | Leonardo David Pires Barcelos Ognev Meireles Cozac Marcela Caetano Cammarota Leonardo Martins Costa Daher Milena Carvalho Almeida Galdino Ismar Ribeiro |
| author_sort | Leonardo David Pires Barcelos |
| collection | DOAJ |
| description | Introduction: This work describes and presents the results of an alternative technique for treating steatonecrosis by liposuction using a specific cannula, with good physical and imaging results. Steatonecrosis is a complication that frequently occurs during mammary surgeries, especially during mammary reconstructions and in conservative surgery or TRAM. Steatonecrosis is characterized initially by hardening of the tissue that may develop into nodules of different sizes in any mammary region with oily cysts and fibrosis; consequently, steatonecrosis is a constant concern for patients, oncologists, breast cancer specialists, and plastic surgeons due to the possibility of tumor recurrence.
Method: A retrospective review of the medical records of the patients undergoing procedures related to the breast, either reconstructive or aesthetic, was performed. Patients who developed steatonecrosis and were treated by liposuction, similar to the bone drilling technique performed by orthopedic surgeons for the treatment of bone necrosis, were included in the study.
Results: Eight patients from the study period reviewed were selected. The mean age was 56 years. Most of the patients showed deformity in the affected breast, with oily cysts, reported in 5 patients (62.5%), being the most common deformity. Breast cancer history was reported for 75% of the patients.
Conclusion: The individualization of the patient is the key to successful treatment of steatonecrosis and an essential tool to satisfy the expectations and desires of the patient after this complication. Each technique has its indications, advantages and limitations, which should be thoroughly discussed with the patient to obtain the best possible result. |
| first_indexed | 2024-03-09T04:55:26Z |
| format | Article |
| id | doaj.art-c623788cb49b47c7a3a70ca69dcf464c |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T04:55:26Z |
| publishDate | 2018-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-c623788cb49b47c7a3a70ca69dcf464c2023-12-03T13:05:58ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352018-09-01330331231610.5935/2177-1235.2018RBCP0143Alternative technique for the treatment of osteonecrosis in breasts: description and resultsLeonardo David Pires Barcelos0Ognev Meireles Cozac1Marcela Caetano Cammarota2Leonardo Martins Costa Daher3Milena Carvalho Almeida Galdino4Ismar Ribeiro5Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilIntroduction: This work describes and presents the results of an alternative technique for treating steatonecrosis by liposuction using a specific cannula, with good physical and imaging results. Steatonecrosis is a complication that frequently occurs during mammary surgeries, especially during mammary reconstructions and in conservative surgery or TRAM. Steatonecrosis is characterized initially by hardening of the tissue that may develop into nodules of different sizes in any mammary region with oily cysts and fibrosis; consequently, steatonecrosis is a constant concern for patients, oncologists, breast cancer specialists, and plastic surgeons due to the possibility of tumor recurrence. Method: A retrospective review of the medical records of the patients undergoing procedures related to the breast, either reconstructive or aesthetic, was performed. Patients who developed steatonecrosis and were treated by liposuction, similar to the bone drilling technique performed by orthopedic surgeons for the treatment of bone necrosis, were included in the study. Results: Eight patients from the study period reviewed were selected. The mean age was 56 years. Most of the patients showed deformity in the affected breast, with oily cysts, reported in 5 patients (62.5%), being the most common deformity. Breast cancer history was reported for 75% of the patients. Conclusion: The individualization of the patient is the key to successful treatment of steatonecrosis and an essential tool to satisfy the expectations and desires of the patient after this complication. Each technique has its indications, advantages and limitations, which should be thoroughly discussed with the patient to obtain the best possible result.http://www.rbcp.org.br/export-pdf/2161/en_v33n3a07.pdffat necrosisbreast implantsmammaplastybreast neoplasmsmastectomy, segmental |
| spellingShingle | Leonardo David Pires Barcelos Ognev Meireles Cozac Marcela Caetano Cammarota Leonardo Martins Costa Daher Milena Carvalho Almeida Galdino Ismar Ribeiro Alternative technique for the treatment of osteonecrosis in breasts: description and results Revista Brasileira de Cirurgia Plástica fat necrosis breast implants mammaplasty breast neoplasms mastectomy, segmental |
| title | Alternative technique for the treatment of
osteonecrosis in breasts: description and results |
| title_full | Alternative technique for the treatment of
osteonecrosis in breasts: description and results |
| title_fullStr | Alternative technique for the treatment of
osteonecrosis in breasts: description and results |
| title_full_unstemmed | Alternative technique for the treatment of
osteonecrosis in breasts: description and results |
| title_short | Alternative technique for the treatment of
osteonecrosis in breasts: description and results |
| title_sort | alternative technique for the treatment of osteonecrosis in breasts description and results |
| topic | fat necrosis breast implants mammaplasty breast neoplasms mastectomy, segmental |
| url | http://www.rbcp.org.br/export-pdf/2161/en_v33n3a07.pdf |
| work_keys_str_mv | AT leonardodavidpiresbarcelos alternativetechniqueforthetreatmentofosteonecrosisinbreastsdescriptionandresults AT ognevmeirelescozac alternativetechniqueforthetreatmentofosteonecrosisinbreastsdescriptionandresults AT marcelacaetanocammarota alternativetechniqueforthetreatmentofosteonecrosisinbreastsdescriptionandresults AT leonardomartinscostadaher alternativetechniqueforthetreatmentofosteonecrosisinbreastsdescriptionandresults AT milenacarvalhoalmeidagaldino alternativetechniqueforthetreatmentofosteonecrosisinbreastsdescriptionandresults AT ismarribeiro alternativetechniqueforthetreatmentofosteonecrosisinbreastsdescriptionandresults |