The inferior pedicle flap used as “filler” in breast conservative therapy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-10-02

AUTHORS

Stefano Pompei, Fabio Marcasciano, Luiz Fernando Frascino, Claudio Cesarini, Lara Labardi, Guido Caravelli, Ornella Abate, Floriana Arelli

ABSTRACT

BackgroundOncoplastic techniques are capable of correcting or preventing morphological changes of the breast undergoing conservative surgery with the aim of improving the cosmetic outcome and therefore the quality of life. Literature reports several post-conservative surgical oncoplastic procedures using autologous or local glandular tissue.MethodsAuthors report their experience with 24 breast cancer patients (localized in upper and central quadrants). The flap used, described by Ribeiro, is a dermal–adiposal–glandular flap with an inferior pedicle prepared utilizing the lower breast pole. In the six cases, we have performed an immediate nipple reconstruction using C–V flap, sculpted with a skin island on the Ribeiro flap, and areola tattooing. The mean age was 56.3 years (range, 35 to 74 years), and mean follow-up was 26 months (12 to 40 months). The level of patient satisfaction was rated on a 1 (low) to 5 (high) scale, before and after radiotherapy (12 months).ResultsIn all patients, no depression of the superior quadrants was noted, as well as no morphological change noted in the “oncological” breast contour and that of the “cosmetic” contralateral breast, with mean satisfaction score of 4.2. The degree of satisfaction symmetry, assessed at 1 year from radiotherapy, had a mean satisfaction score of 4.0.ConclusionsThe use of the Ribeiro flap as a filler in appropriate and selected indications can represent a good alternative to the many reconstructive methods available for partial breast resection.Level of Evidence: Level IV, therapeutic study. More... »

PAGES

21-26

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00238-012-0760-9

DOI

http://dx.doi.org/10.1007/s00238-012-0760-9

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https://app.dimensions.ai/details/publication/pub.1014084812


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