Oncoplastic breast surgery to prevent "Bird's beak" deformity in the breast: a comparative retrospective study.
Breast deformity
Breast-conserving surgery
Oncoplastic breast surgery
Volume displacement
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
08 May 2023
08 May 2023
Historique:
received:
11
11
2022
accepted:
06
04
2023
medline:
9
5
2023
pubmed:
9
5
2023
entrez:
8
5
2023
Statut:
aheadofprint
Résumé
Breast deformity occurring in the lower pole after breast conserving surgery (BCS) is known as bird's beak (BB) deformity. This retrospective study evaluated the outcomes in breasts reconstructed with a conventional closing procedure (CCP) and a downward-moving procedure (DMP), respectively, after BCS. In CCP, the inferomedial and inferolateral portions of breast tissues were reapproximated toward the midline after wide excision to repair the breast defect. In DMP, the retro-areolar breast tissue was detached from the nipple-areolar complex after wide excision, and the upper pole breast tissue was moved downward to refill the breast defect. CCP was performed in 20 patients (Group A), and DMP was performed in 28 patients (Group B). Although retraction of the lower part of the breast was postoperatively observed in 13 (72%) of 18 patients from Group A, it was observed in 7 (28%) of 25 patients in Group B (p < 0.05). The downward pointing of the nipple was observed in 8 (44%) of 18 patients from Group A and in 4 (16%) of 25 patients in Group B (p < 0.05). DMP is more useful for preventing BB deformity than CCP.
Identifiants
pubmed: 37157037
doi: 10.1007/s00595-023-02690-0
pii: 10.1007/s00595-023-02690-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.
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