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논문 기본 정보

자료유형
학술저널
저자정보
Yang, Jung Dug (Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University) Ryu, Dong Wan (Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University) Lee, Jeong Woo (Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University) Choi, Kang Young (Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University) Chung, Ho Yun (Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University) Cho, Byung Chae (Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University) Park, Ho Yong (Department of Surgery, Graduated School of Medicine, Kyungpook National University) Byun, Jin Suk (BS Aesthetic Clinic)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제4호
발행연도
2013.1
수록면
367 - 373 (7page)

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Background Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer. Methods From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons. Results The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15), the lower lateral quadrant (n=2), and the central lateral area (n=3). Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes. Conclusions Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer.

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