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Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer

BACKGROUND: Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap a...

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Autores principales: Yang, Jung Dug, Ryu, Dong Wan, Lee, Jeong Woo, Choi, Kang Young, Chung, Ho Yun, Cho, Byung Chae, Park, Ho Yong, Byun, Jin Suk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3723997/
https://www.ncbi.nlm.nih.gov/pubmed/23898433
http://dx.doi.org/10.5999/aps.2013.40.4.367
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author Yang, Jung Dug
Ryu, Dong Wan
Lee, Jeong Woo
Choi, Kang Young
Chung, Ho Yun
Cho, Byung Chae
Park, Ho Yong
Byun, Jin Suk
author_facet Yang, Jung Dug
Ryu, Dong Wan
Lee, Jeong Woo
Choi, Kang Young
Chung, Ho Yun
Cho, Byung Chae
Park, Ho Yong
Byun, Jin Suk
author_sort Yang, Jung Dug
collection PubMed
description BACKGROUND: Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer. METHODS: From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons. RESULTS: The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15), the lower lateral quadrant (n=2), and the central lateral area (n=3). Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes. CONCLUSIONS: Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer.
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spelling pubmed-37239972013-07-29 Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer Yang, Jung Dug Ryu, Dong Wan Lee, Jeong Woo Choi, Kang Young Chung, Ho Yun Cho, Byung Chae Park, Ho Yong Byun, Jin Suk Arch Plast Surg Original Article BACKGROUND: Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer. METHODS: From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons. RESULTS: The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15), the lower lateral quadrant (n=2), and the central lateral area (n=3). Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes. CONCLUSIONS: Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer. The Korean Society of Plastic and Reconstructive Surgeons 2013-07 2013-07-17 /pmc/articles/PMC3723997/ /pubmed/23898433 http://dx.doi.org/10.5999/aps.2013.40.4.367 Text en Copyright © 2013 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yang, Jung Dug
Ryu, Dong Wan
Lee, Jeong Woo
Choi, Kang Young
Chung, Ho Yun
Cho, Byung Chae
Park, Ho Yong
Byun, Jin Suk
Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer
title Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer
title_full Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer
title_fullStr Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer
title_full_unstemmed Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer
title_short Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer
title_sort usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3723997/
https://www.ncbi.nlm.nih.gov/pubmed/23898433
http://dx.doi.org/10.5999/aps.2013.40.4.367
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