Combined TRAM flap with latissimus dorsi myocutaneous flap for reconstruction of a large breast post-radiation induced necrosis
| Autor: | Adel K. Barsoum, Ahmed M. Al Maksoud, Mohammed Moneer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Case Report medicine.disease Surgery Radiation therapy 03 medical and health sciences 0302 clinical medicine Breast cancer 030220 oncology & carcinogenesis Mammaplasty Breast-conserving surgery Medicine 030212 general & internal medicine Implant Surgical Flaps skin and connective tissue diseases business Breast reconstruction Mastectomy |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjx079 |
| Popis: | Radiation therapy is a critical component of breast cancer management following breast-conserving surgery. Post-radiation sequelae are greater in women with larger breasts, given the need for higher doses and dosing heterogeneity. The goal of breast reconstruction post-mastectomy is to improve the quality of life and add no more health risk. The optimal reconstruction should make the patient feel as natural as possible. Reconstruction of a large-sized breast with aesthetically satisfactory outcome poses a challenge to the breast surgeon. The breast of most Egyptian women is of a large volume with variable degrees of ptosis, thus it is difficult to reconstruct such a large-ptotic breast using an implant. We describe the successful reconstruction of a large-sized breast after radiation-induced necrosis using a combined transverse myocutaneous rectus abdominis flap and latissimus dorsi myocutaneous flap reconstruction. The combined use of both flaps offered a more natural breast reconstruction and avoided the use of any implants. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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