A Simple Flap Design for the Salvage of Immediate Implant-Based Breast Reconstruction

Yazar, Sevgi Kurt; Altinkaya, Altug; Karadağ, Emine Çiğdem; Kara, Halil; Uras, Cihan

doi:10.1097/sap.0000000000001196

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…The only discussion of rhomboid flap usage for MSFN postimmediate reconstruction has been by Yazar et al 7. Eight patients of 58 discussed, developed T-junction necrosis after skin-reducing inverted-T mastectomies.…”

Section: Discussionmentioning

confidence: 99%

Limberg flap in mastectomy T-junction necrosis: an underutilised technique

Ofri,

Von Hagt,

Ponniah

2023

BMJ Case Rep

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The Wise-pattern skin-sparing mastectomy (SSM) is well known for its efficacy in large ptotic breasts, and its safety in facilitating immediate breast reconstruction. An unfortunate sequalae for all SSM techniques is mastectomy skin flap necrosis (MSFN) with a reported range of occurrence of 5%–30%. For the Wise pattern, the common area of wound dehiscence or necrosis is the T-junction. Different techniques have been described in the management of MSFN—ranging from primary closure to local and distant flaps. Full thickness MSFN results in wound breakdown and can expose a prosthesis, subsequently closure must be obtained with potential for the prosthesis to be explanted. To date, there has been no reports in the literature of the usage of a rhomboid flap in an SSM with immediate prepectoral implant. We discuss our experience in the usage of this local cosmetic flap to avoid prosthesis loss and have reviewed the literature regarding MSFN, the application of the rhomboid (Limberg) flap in breast surgery and its applicability in MSFN to preserve underlying prosthesis.

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Section: Discussionmentioning

confidence: 99%