Internal mammary artery perforator-based plug flap

被引:0
作者
Pirozzi, Nello [1 ]
Rocco, Nicola [1 ,2 ,3 ]
Nava, Maurizio Bruno [3 ]
Doria, Maira Teixeira [4 ]
Weigert, Camilla Victoria [4 ]
Urban, Cicero de Andrade [4 ]
机构
[1] Univ Naples Federico II, Breast Unit, Naples, Italy
[2] Univ Naples Federico II, Dept Adv Biomed Sci, Naples, Italy
[3] Fdn GRe TA Grp Reconstruct & Therapeut Advancement, Naples, Italy
[4] Hosp Nossa Senhora Gracas, Curitiba, Brazil
来源
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2024年 / 125卷
关键词
Breast surgery; Oncoplastic surgery; Plastic surgery; Perforator flap; Case report; BREAST-CONSERVING SURGERY; FOLLOW-UP; MASTECTOMY;
D O I
10.1016/j.ijscr.2024.110567
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Various oncoplastic techniques have emerged over the years to preserve breast cosmesis and symmetry without compromising the principles of tumor excision. One of the newer techniques for breast volume replacement to achieve symmetry and cosmesis is the use of fascio-cutaneous pedicled chest wall perforator flaps or local perforator flaps (CWPF). Case presentation: We present a case of reconstruction with internal mammary artery perforator (IMAP)-based plug flap to fill the infero-medial defect caused by a tumor close to skin, with visible retraction. Clinical discussion: A 52 years old woman, with an extensive palpable mass (3 cm) in the lower medial quadrant of the right breast, the tumor was close to skin, with visible retraction. The patient has small and round breasts, without ptosis. Conclusion: In this situation and when there is skin that needs to be removed, reconstruction can be done with a pedicle flap skin paddle; the IMAP flap is an ideal donor site in these cases. It is a safe flap with good vascularization and offers a great cosmetic result.
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页数:5
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