Immediate Breast Reconstruction in Large Ptotic Breasts Using the Inferior Based Dermal Flap. Indications and Technique.
- Resource Type
- Academic Journal
- Authors
- Muntean MV; Oradan AV; Corpodean AA; Lazar GL; Gata VA; Vlad C; Puscas E; Lisencu IC; Achimas-Cadariu PA
- Source
- Publisher: Editura Celsius Country of Publication: Romania NLM ID: 9213031 Publication Model: Print Cited Medium: Print ISSN: 1221-9118 (Print) Linking ISSN: 12219118 NLM ISO Abbreviation: Chirurgia (Bucur) Subsets: MEDLINE
- Subject
- Language
- English
- ISSN
- 1221-9118
Introduction: Achieving good aesthetic outcomes during immediate reconstruction in women with large ptotic breast presents a unique challenge for the reconstructive surgeon. We present our paradigm regarding immediate reconstruction in patients with large ptotic breasts, using the inferiorly based dermal flap. Materials and Methods: Ten patients with large ptotic breasts underwent mastectomy and immediate implant reconstruction at the "Prof. Dr. I. Chiricuta" Institute of Oncology. The mastectomy was carried out using a Wise pattern skin resection with preservation of a dermal flap at the lower pole of the breast. The flap was sutured to the pectoralis major muscle and completed the subpectoral pocket created for the implant. Results: The reconstruction was done bilaterally in three cases with a total number of 13 reconstructed breasts. Of these 11 required dermal flaps. All reconstructions were completed successfully and there were no implant losses. Four breasts (36%) developed superficial necrosis of the tip of the mastectomy flaps at the T junction. Conclusion: The dermal flap technique is safe, versatile and reliable. It is used in a wide array of reconstructive scenarios as it provides the surgeon with an excellent alternative to more costly and unreliable methods.
(Celsius.)