The Dogan Technique for Lower Inner Quadrant Breast Tumors: A Novel Volume Displacement Oncoplastic Approach

Area of Science:

• Oncoplastic Surgery
• Surgical Oncology
• Plastic Surgery

Background:

• Lower inner quadrant breast tumors present unique oncoplastic surgery challenges.
• Limited tissue volume and cosmetic outcomes are key concerns.
• Existing techniques may not adequately address these specific tumor locations.

Purpose of the Study:

• To describe a novel surgical technique for breast-conserving surgery of lower inner quadrant tumors.
• To evaluate the oncologic safety and aesthetic results of this technique.
• To address the challenges of limited tissue volume and cosmetic outcomes in this region.

Main Methods:

• Retrospective analysis of 5 consecutive patients undergoing the new technique.
• Surgical approach involves a triangular design, superior glandular flap mobilization, and inframammary fold incision.
• Nipple-areola complex was preserved in all cases.

Main Results:

• Successful implementation of the surgical design in all patients.
• All patients achieved negative surgical margins, ensuring oncologic safety.
• No major postoperative complications or nipple-areola complex ischemia were reported.
• Satisfactory breast contour and symmetry were observed early postoperatively.

Conclusions:

• The described technique is a potentially feasible option for selected patients with lower inner quadrant breast tumors.
• Initial results indicate promising early oncologic and aesthetic outcomes.
• Further research with larger patient groups and extended follow-up is warranted.