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Related Experiment Video

Updated: Jan 3, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

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Pedicled local flaps: a reliable reconstructive tool for partial breast defects.

Sherif Youssif1,2, Youssef Hassan2, Ahmed Tohamy2

  • 1Plastic and Reconstructive Surgery Division, Good Hope Hospital, University Hospitals Birmingham NHS Trust, Birmingham, UK.

Gland Surgery
|November 20, 2019
PubMed
Summary
This summary is machine-generated.

Pedicled perforator flaps effectively reconstruct partial breast defects after breast conserving surgery and radiation therapy. These techniques offer high patient satisfaction and minimal donor site morbidity, improving aesthetic outcomes.

Keywords:
Breast cancerbreast conserving surgerypartial breast reconstructionperforator flap

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Area of Science:

  • Plastic and Reconstructive Surgery
  • Oncology
  • Breast Surgery

Background:

  • Breast conserving surgery (BCS) followed by radiotherapy is a common breast cancer treatment.
  • Radiotherapy can cause aesthetic issues like volume loss and nipple distortion.
  • Pedicled perforator flaps offer a solution for post-BCS partial breast defects.

Purpose of the Study:

  • To evaluate the efficacy of pedicled perforator flaps in managing partial breast defects after BCS.
  • To assess the aesthetic outcomes and patient satisfaction with these reconstructive techniques.

Main Methods:

  • Retrospective analysis of 30 patients with post-BCS partial breast defects.
  • Reconstruction using muscle sparing latissimus dorsi (MSLD), thoraco-dorsal artery perforator (TDAP), and intercostal artery perforator (ICAP) flaps.
  • Data collected from December 2008 to December 2018.

Main Results:

  • Flaps were used for defects in all quadrants except the upper inner quadrant.
  • MSLD flap (66.7%) was most common, followed by TDAP (20%) and ICAP (13.3%).
  • High flap survival (100%), minimal complications (1 epidermolysis, 1 fat necrosis), and high patient satisfaction (94%).

Conclusions:

  • Pedicled perforator flaps, including TAP/ICAP and MSLD, provide reliable and optimal results for partial breast defects post-BCS.
  • These techniques effectively address aesthetic deformities, improving patient outcomes.
  • A range of flap options allows for tailored reconstruction to achieve superior cosmetic results.