Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity
Background:. Full-thickness burns of the anterior chest wall during childhood are a devastating problem that results in significant distortion of the developing breast. This deformed burnt breast represents a serious aesthetic problem, and can lead to functional impairment as well as severe emotiona...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2021-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003835 |
| _version_ | 1818436594228527104 |
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| author | Mohammed Ahmed Hussein, MD, PhD Rasha Abdelkader, MD, PhD Ayman Noaman El-Henawy, MD, PhD Kyrillos Makarem, MD, PhD |
| author_facet | Mohammed Ahmed Hussein, MD, PhD Rasha Abdelkader, MD, PhD Ayman Noaman El-Henawy, MD, PhD Kyrillos Makarem, MD, PhD |
| author_sort | Mohammed Ahmed Hussein, MD, PhD |
| collection | DOAJ |
| description | Background:. Full-thickness burns of the anterior chest wall during childhood are a devastating problem that results in significant distortion of the developing breast. This deformed burnt breast represents a serious aesthetic problem, and can lead to functional impairment as well as severe emotional trauma for patients.
Methods:. Patients with postburn scarring affecting the lower pole of the breast were included. Only patients with small to medium-sized breasts were targeted. The lower breast pole was reconstructed using muscle-sparing latissimus dorsi flap. All patients had been subjectively assessed, including overall patient satisfaction regarding breast aesthetics, donor site morbidity, and functional deficits of latissimus dorsi muscle, 3 months postoperatively.
Results:. Six patients (seven breasts) were included in this study. Muscle-sparing latissimus dorsi flap was used to reconstruct lower breast pole in all patients. A horizontally-oriented skin paddle was used in five patients, whereas a vertically oriented skin paddle was used in one patient. Average patient satisfaction was 9.1 (SD 0.6) for the reconstructed lower breast pole. For the donor site, average overall satisfaction was 9.1 (SD 0.8). Latissimus dorsi muscle function was objectively confirmed in 90% of cases after 3 months postoperatively. Patients had an average score of 3.9 (SD 0.4) for the activity score as well.
Conclusions:. The muscle-sparing latissimus dorsi flap is a good reconstructive tool for lower breast pole in postburn breast reconstruction. It has a reliable versatile skin paddle that can resurface the whole lower breast pole, while avoiding many of the latissimus flap morbidities. |
| first_indexed | 2024-12-14T17:11:15Z |
| format | Article |
| id | doaj.art-d4b5d9037ed84e6ca60da8e990268856 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-14T17:11:15Z |
| publishDate | 2021-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-d4b5d9037ed84e6ca60da8e9902688562022-12-21T22:53:34ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-09-0199e383510.1097/GOX.0000000000003835202109000-00043Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast DeformityMohammed Ahmed Hussein, MD, PhD0Rasha Abdelkader, MD, PhD1Ayman Noaman El-Henawy, MD, PhD2Kyrillos Makarem, MD, PhD3From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.Background:. Full-thickness burns of the anterior chest wall during childhood are a devastating problem that results in significant distortion of the developing breast. This deformed burnt breast represents a serious aesthetic problem, and can lead to functional impairment as well as severe emotional trauma for patients. Methods:. Patients with postburn scarring affecting the lower pole of the breast were included. Only patients with small to medium-sized breasts were targeted. The lower breast pole was reconstructed using muscle-sparing latissimus dorsi flap. All patients had been subjectively assessed, including overall patient satisfaction regarding breast aesthetics, donor site morbidity, and functional deficits of latissimus dorsi muscle, 3 months postoperatively. Results:. Six patients (seven breasts) were included in this study. Muscle-sparing latissimus dorsi flap was used to reconstruct lower breast pole in all patients. A horizontally-oriented skin paddle was used in five patients, whereas a vertically oriented skin paddle was used in one patient. Average patient satisfaction was 9.1 (SD 0.6) for the reconstructed lower breast pole. For the donor site, average overall satisfaction was 9.1 (SD 0.8). Latissimus dorsi muscle function was objectively confirmed in 90% of cases after 3 months postoperatively. Patients had an average score of 3.9 (SD 0.4) for the activity score as well. Conclusions:. The muscle-sparing latissimus dorsi flap is a good reconstructive tool for lower breast pole in postburn breast reconstruction. It has a reliable versatile skin paddle that can resurface the whole lower breast pole, while avoiding many of the latissimus flap morbidities.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003835 |
| spellingShingle | Mohammed Ahmed Hussein, MD, PhD Rasha Abdelkader, MD, PhD Ayman Noaman El-Henawy, MD, PhD Kyrillos Makarem, MD, PhD Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity Plastic and Reconstructive Surgery, Global Open |
| title | Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity |
| title_full | Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity |
| title_fullStr | Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity |
| title_full_unstemmed | Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity |
| title_short | Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity |
| title_sort | lower pole breast reconstruction using muscle sparing latissimus dorsi flap in postburn breast deformity |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003835 |
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