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Arch Plast Surg. Sep 2012; 39(5): 489–496.
Published online Sep 12, 2012. doi:  10.5999/aps.2012.39.5.489
PMCID: PMC3474406
Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts
Jung Dug Yang,corresponding author1 Min Chul Kim,1 Jeong Woo Lee,1 Young Kyoo Cho,1 Kang Young Choi,1 Ho Yun Chung,1 Byung Chae Cho,1 and Ho Yong Park2
1Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
2Department of Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
corresponding authorCorresponding author.
Correspondence: Jung Dug Yang. Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, 130 Dongdeok-ro, Jung-gu, Daegu 700-421, Korea. Tel: +82-53-420-5688, Fax: +82-53-425-3879, lambyang/at/paran.com
Received May 4, 2012; Revised July 20, 2012; Accepted July 26, 2012.
Abstract
Background
In Korean women, many of whom have small to moderate-sized breasts, it is difficult to cover a partial breast defect using oncoplastic volume displacement techniques after removal of an adequate volume of tissue during oncologic surgery. In such cases, oncoplastic volume replacement techniques are more useful.
Methods
From January 2007 to December 2011, 104 women underwent a total of 107 breast-conserving surgeries with various kinds of oncoplastic volume replacement techniques. We used latissimus dorsi (LD) myocutaneous flap for cases in which the resection mass was greater than 150 g. In case with a resection mass less than 150 g, we used regional flaps such as a lateral thoracodorsal flap, a thoracoepigastric flap, or perforator flaps such as an intercostal artery perforator (ICAP) flap or a thoracodorsal artery perforator (TDAP) flap.
Results
The mean age was 46.1 years, and the average follow-up interval was 10.3 months. The patients underwent oncoplastic volume replacement techniques with a lateral thoracodorsal flap (n=9), thoracoepigastric flap (n=7), ICAP flap (n=25), TDAP flap (n=12), and LD flap (n=54). There was one case of congestion in an LD flap, and two cases of fat necrosis in an ICAP flap. Most of the patients were satisfied with the cosmetic results.
Conclusions
Oncoplastic volume replacement techniques can be reliable and useful for the correction of breast deformity after breast-conserving surgery, especially in patients with small to moderate-sized breasts.
Keywords: Breast neoplasms, Mammaplasty, Surgical flaps
Articles from Archives of Plastic Surgery are provided here courtesy of
Korean Society of Plastic and Reconstructive Surgeons