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Outcome of Matrix Rotation Versus Single Incision Lateral Sulcus Mammoplasty in Upper Quadrant Breast Carcinomas.

Emad M Abdelrahman1, Sherif M Mohsen2, Amr G Mohamed1

  • 1Department of General Surgery, Faculty of Medicine, Benha University, Benha 13518, Egypt.

Medicina (Kaunas, Lithuania)
|September 27, 2025
PubMed
Summary

The single incision lateral mammoplasty (SILM) technique offers better outcomes than the matrix rotation flap (MRF) for oncoplastic breast surgery, with fewer complications and improved aesthetics. Further research is needed for long-term oncological results.

Keywords:
MRFSLIMbreast canceroncoplasty

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Area of Science:

  • Breast surgery
  • Oncoplastic surgery
  • Plastic surgery

Background:

  • Oncoplastic breast surgery (OBS) combines plastic and oncologic principles for breast cancer management.
  • Diverse mammoplasty techniques allow extensive resections with safe margins.
  • This study evaluates the single incision lateral mammoplasty (SILM) for outer quadrant breast cancer.

Purpose of the Study:

  • To compare the efficacy of the SILM technique versus the matrix rotation flap (MRF) for oncoplastic breast surgery.
  • To assess postoperative complications and aesthetic outcomes between the two surgical techniques.

Main Methods:

  • A prospective randomized controlled study involving 68 patients.
  • Patients were divided into two groups: MRF (Group A) and SILM (Group B).
  • Follow-up focused on complications and aesthetic results using the Vancouver Scar Scale (VSS).

Main Results:

  • The SILM group (Group B) showed lower rates of hematoma (5.9%) and seroma (5.9%) compared to the MRF group (Group A: 14.7% hematoma, 11.8% seroma).
  • Patient satisfaction was high in both groups (32.4% excellent in Group A, 50% excellent in Group B).
  • Aesthetic outcomes, evaluated by VSS, were significantly better in the SILM group.

Conclusions:

  • The SILM technique demonstrates superior results over MRF, including reduced hematoma, seroma, blood loss, and improved breast symmetry and areolar position.
  • Both techniques provide acceptable cosmetic results.
  • Longer-term follow-up is required to confirm oncological equivalence between SILM and MRF.