Latissimus Dorsi Musculocutaneous Flap Inset Innovation in Breast Reconstruction.

Breast Implant Latissimus dorsi Reconstruction

Journal

World journal of plastic surgery
ISSN: 2228-7914
Titre abrégé: World J Plast Surg
Pays: Iran
ID NLM: 101639130

Informations de publication

Date de publication:
Sep 2019
Historique:
entrez: 18 10 2019
pubmed: 18 10 2019
medline: 18 10 2019
Statut: ppublish

Résumé

Breast reconstruction is distinct among plastic surgery techniques. This study analysed the results of breast reconstruction with the Latissimus dorsi (LD) myocutaneous flap as a strategy for better coverage and positioning of the implant. Twenty patients who underwent surgery between September 2013 and September 2016 were enrolled. Fourteen patients underwent reconstruction with LD and tissue expander (TE) exchanged later with implant. Six patients were reconstructed with LD and implant. The complications, problems, and aesthetic improvement associated with the use of implants placed under LD muscle were assessed. 0ne case required an expander removal because of deflation of TE, also one case had seroma formation due to recurrence of breast cancer and also one case had seroma in donor site. No asymmetry was detected in the inframammary fold (IMF) position between reconstructed and normal regions. After the procedure, 80% of the patients reported that their expectations were met, 95% reported no functional limitations, and 5% reported mild limitations that ameliorated with physiotherapy. The placement of implants (prostheses or expanders) under the muscle with using the LD muscle flap to cover the implant improved the breast contour by softening the inframammary crease and positioning the implants in the upper and medial quadrants of the new breasts. Breast reconstruction using silicone implants and the LD muscle flap can have excellent outcomes with low rates of complications. Placing the implant under a layer of muscle improved the harmony of the upper quadrants during breast reconstruction.

Sections du résumé

BACKGROUND BACKGROUND
Breast reconstruction is distinct among plastic surgery techniques. This study analysed the results of breast reconstruction with the Latissimus dorsi (LD) myocutaneous flap as a strategy for better coverage and positioning of the implant.
METHODS METHODS
Twenty patients who underwent surgery between September 2013 and September 2016 were enrolled. Fourteen patients underwent reconstruction with LD and tissue expander (TE) exchanged later with implant. Six patients were reconstructed with LD and implant. The complications, problems, and aesthetic improvement associated with the use of implants placed under LD muscle were assessed.
RESULTS RESULTS
0ne case required an expander removal because of deflation of TE, also one case had seroma formation due to recurrence of breast cancer and also one case had seroma in donor site. No asymmetry was detected in the inframammary fold (IMF) position between reconstructed and normal regions. After the procedure, 80% of the patients reported that their expectations were met, 95% reported no functional limitations, and 5% reported mild limitations that ameliorated with physiotherapy. The placement of implants (prostheses or expanders) under the muscle with using the LD muscle flap to cover the implant improved the breast contour by softening the inframammary crease and positioning the implants in the upper and medial quadrants of the new breasts.
CONCLUSION CONCLUSIONS
Breast reconstruction using silicone implants and the LD muscle flap can have excellent outcomes with low rates of complications. Placing the implant under a layer of muscle improved the harmony of the upper quadrants during breast reconstruction.

Identifiants

pubmed: 31620344
doi: 10.29252/wjps.8.3.394
pmc: PMC6790255
doi:

Types de publication

Journal Article

Langues

eng

Pagination

394-400

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Ezatollah Rezaei (E)

Department of Plastic Surgery, Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Kamrooz Pouryousef (K)

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

Mohammad Karimi (M)

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

Saeedeh Hajebi Khaniki (S)

Department of Biostatistics, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Ehsan Baradaran Sirjani (E)

Department of Statistics, Mashhad Branch, Islamic Azad University, Mashhad, Iran.

Classifications MeSH