The split breast flap: Revisited - a medieval or an ideal solution in the selected case?

Area of Science:

• Plastic Surgery
• Surgical Oncology

Background:

• Palliative reconstruction of the anterior chest wall presents complex challenges for surgeons.
• Decision-making involves evaluating local defect, tissue loss, required tissue, and available tissue.
• Patient's general condition significantly influences the choice of reconstructive technique.

Observation:

• The split breast flap is a reconstructive option for anterior chest wall defects.
• This technique is frequently underutilized in palliative settings.
• Surgeons must consider multiple factors when selecting a reconstruction method.

Findings:

• The split breast flap is a straightforward and effective method for palliative chest wall reconstruction.
• It provides a viable solution when other techniques may be overly complex or unsuitable.
• Successful application depends on careful assessment of the defect and available resources.

Implications:

• Incorporating the split breast flap into the surgeon's armamentarium can improve patient outcomes in palliative care.
• This technique offers a less complex alternative for specific anterior chest wall reconstruction scenarios.
• Further studies could explore the long-term efficacy and patient satisfaction associated with this method.