Location of Repository

Breast-Volume Displacement Using an Extended Glandular Flap for Small Dense Breasts

By Tomoko Ogawa, Noriko Hanamura, Masako Yamashita, Hiroko Kimura and Yumi Kashikura

Abstract

We defined the glandular flap including fat in the subclavicular area as an extended glandular flap, which has been used for breast-conserving reconstruction in the upper portion of the breast. Indication. The excision volume was 20% to 40% of the breast volume, and the breast density was dense. Surgical Technique. The upper edge of the breast at the subclavicular area was drawn in the standing position before surgery. After partial mastectomy, an extended glandular flap was made by freeing the breast from both the skin and the pectoralis fascia up to the preoperative marking in the subclavicular area. It is important to keep the perforators of the internal mammary artery and/or the branches of the lateral thoracic artery intact while making the flap. Results. Seventeen patients underwent remodeling using an extended glandular flap. The cosmetic results at 1 year after the operation: excellent in 11, good in 1, fair in 3, and poor in 2. All cases of unacceptable outcome except one were cases with complications, and more than 30% resection of moderate or large size breasts did not obtain an excellent result for long-term followup. Conclusion. This technique is useful for performing the breast-conserving reconstruction of small dense breasts

Topics: Clinical Study
Publisher: Hindawi Publishing Corporation
OAI identifier: oai:pubmedcentral.nih.gov:3335467
Provided by: PubMed Central
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.pubmedcentral.nih.g... (external link)
  • Suggested articles

    Preview

    Citations

    1. (1998). Aaronson et al., “Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC trial 10801,”
    2. (2003). American College of Radiology, Breast Imaging Reporting and Data Systems (BI-RADS), American College of Radiology,
    3. (1979). arris,M.B .L ev ene,G.S v ensson,andS.H ellman,“ A nalysis of cosmetic results following primary radiation therapy for stages I and II carcinoma of the breast,”
    4. (2008). Assessment of immediateconservativebreastsurgeryreconstruction:aclassification system ofdefects revisited and an algorithmforselecting the appropriate technique,” Plastic and Reconstructive Surgery,
    5. (2010). C l o u g h ,G .J .K a u f m a n ,C .N o s ,I .B u c c i m a z z a ,a n dI .M . Sarfati, “Improving breast cancer surgery: a classification and quadrant per quadrant atlas foroncoplastic surgery,”
    6. (1998). C l o u g h ,J .C u m i n e t ,A .F i t o u s s i ,C .N o s ,a n dV .M o s s e r i , “Cosmetic sequelae after conservative treatment for breast cancer:classificationandresultsofsurgicalcorrection,”Annals of Plastic Surgery,
    7. (2005). Oncoplastic approachestopartialmastectomy:anoverviewofvolume-displacement techniques,”Lancet Oncology,
    8. (2005). Planning and use of therapeutic mammoplasty—Nottingham approach,”
    9. (1987). Postquadrantectomy breast deformities: classification and techniques of surgical correction,”
    10. (2007). Practical guidelines for repair of partial mastectomy defects using the breast reduction technique in patients undergoing breast conservation therapy,” Plastic and Reconstructive Surgery,
    11. (2001). Prediction of cosmetic outcome following conservative breast surgery using breast volume measurements,”
    12. (2001). Quality of life influenced by primary surgical treatment for stage I-III breast cancer—long-term follow-up of a matched-pair analysis,”
    13. (2008). r ono witz,H.M.K uer er ,T .A.Buchholz,V .V aler o
    14. (2000). The influence of patient, tumor and treatment factors on the cosmetic results after breast-conserving therapy in the EORTC ‘boost vs.

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.