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Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique

The round block technique (RBT) is an oncoplastic surgery method that uses volume displacement techniques after partial mastectomy. However, cosmetic problems occur after tissue rearrangement in patients with small breasts or those in whom a large amount of breast tissue is excised. Therefore, we us...

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Autores principales: Kim, Hong-Il, Kim, Byeong-Seok, Kim, Yoon-Soo, Yi, Hyung-Suk, Park, Jin-Hyung, Choi, Jin-Hyuk, Jung, Sung-Ui, Kim, Hyo-Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181173/
https://www.ncbi.nlm.nih.gov/pubmed/35683394
http://dx.doi.org/10.3390/jcm11113005
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author Kim, Hong-Il
Kim, Byeong-Seok
Kim, Yoon-Soo
Yi, Hyung-Suk
Park, Jin-Hyung
Choi, Jin-Hyuk
Jung, Sung-Ui
Kim, Hyo-Young
author_facet Kim, Hong-Il
Kim, Byeong-Seok
Kim, Yoon-Soo
Yi, Hyung-Suk
Park, Jin-Hyung
Choi, Jin-Hyuk
Jung, Sung-Ui
Kim, Hyo-Young
author_sort Kim, Hong-Il
collection PubMed
description The round block technique (RBT) is an oncoplastic surgery method that uses volume displacement techniques after partial mastectomy. However, cosmetic problems occur after tissue rearrangement in patients with small breasts or those in whom a large amount of breast tissue is excised. Therefore, we used an acellular dermal matrix (ADM) when the volume was insufficient after tissue rearrangement. Patients who underwent breast reconstruction using the ADM with the RBT after breast-conserving surgery (BCS) were included. The ADM graft was performed in two layers. First, it was placed on the glandular flap, and the patient was then seated to ascertain the degree of deformity. If the volume was insufficient, a graft was also performed under the skin flap. Overall, 107 oncoplastic surgeries were performed. Tumors were most commonly located in the upper outer quadrant of the breast, and the mean resected breast tissue was 27.1 g. Seroma was the most common complication, but it improved with several aspirations. There were no major complications or cosmetic problems requiring reoperation. Therefore, if the ADM was used for defects that could not be reconstructed with the RBT alone, safe and cosmetically good results could be obtained.
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spelling pubmed-91811732022-06-10 Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique Kim, Hong-Il Kim, Byeong-Seok Kim, Yoon-Soo Yi, Hyung-Suk Park, Jin-Hyung Choi, Jin-Hyuk Jung, Sung-Ui Kim, Hyo-Young J Clin Med Article The round block technique (RBT) is an oncoplastic surgery method that uses volume displacement techniques after partial mastectomy. However, cosmetic problems occur after tissue rearrangement in patients with small breasts or those in whom a large amount of breast tissue is excised. Therefore, we used an acellular dermal matrix (ADM) when the volume was insufficient after tissue rearrangement. Patients who underwent breast reconstruction using the ADM with the RBT after breast-conserving surgery (BCS) were included. The ADM graft was performed in two layers. First, it was placed on the glandular flap, and the patient was then seated to ascertain the degree of deformity. If the volume was insufficient, a graft was also performed under the skin flap. Overall, 107 oncoplastic surgeries were performed. Tumors were most commonly located in the upper outer quadrant of the breast, and the mean resected breast tissue was 27.1 g. Seroma was the most common complication, but it improved with several aspirations. There were no major complications or cosmetic problems requiring reoperation. Therefore, if the ADM was used for defects that could not be reconstructed with the RBT alone, safe and cosmetically good results could be obtained. MDPI 2022-05-26 /pmc/articles/PMC9181173/ /pubmed/35683394 http://dx.doi.org/10.3390/jcm11113005 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Hong-Il
Kim, Byeong-Seok
Kim, Yoon-Soo
Yi, Hyung-Suk
Park, Jin-Hyung
Choi, Jin-Hyuk
Jung, Sung-Ui
Kim, Hyo-Young
Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique
title Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique
title_full Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique
title_fullStr Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique
title_full_unstemmed Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique
title_short Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique
title_sort review of 107 oncoplastic surgeries using an acellular dermal matrix with the round block technique
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181173/
https://www.ncbi.nlm.nih.gov/pubmed/35683394
http://dx.doi.org/10.3390/jcm11113005
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