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A new level 1 oncoplastic technique for breast conserving surgery: rotation glandular flap
E J D Massey1, P F Gouveia1, C Nos1
1Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France.
Background:
When performing conservative surgery for breast cancer, breast reshaping can be a challenging procedure. Level 1 oncoplastic surgery (OPS) techniques, i.e., advancement or rotation of glandular flaps, should be performed when less than 20 per cent breast volume is excised.
Objective:
A new Level 1 OPS technique is described. A wide centro-lateral glandular flap is created after extensive undermining of the skin and nipple-areolar complex, and rotated into the cavity.
Discussion:
This rotation glandular flap is a new technique for use following a wide excision, in glandular, not fatty, breasts, and when standard closure of the cavity would not leave a satisfactory cosmetic result.
