Alteration in skeletal posture between breast reconstruction with latissimus dorsi flap and mastectomy: a prospective comparison study

Lee, Joon Seok; Park, Eun-Hee; Lee, Jung Ho; Lee, Jeeyeon; Park, Ho Yong; Yang, Jung Dug; Jung, Tae-Du

doi:10.21037/gs-21-31

Cited by 9 publications

(13 citation statements)

References 16 publications

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“…It is one of the most commonly used flaps in reconstruction of small to moderate breast volumes [20]. In a recent study, the transfer of the unilateral LD muscle to the breast, with an extended LD flap, did not interfere with shoulder function or activities of daily living [21]. In case of insufficient flap volume, additionally, a single-center uncontrolled study also demonstrated Fat-Augmented LD (FALD) a safe and reliable technique.…”

Section: Discussionmentioning

confidence: 98%

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Lee

Ryu²,

Choi³

et al. 2022

BMC Surg

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Background We conducted a prospective cohort study to evaluate effective techniques for breast reconstruction after partial mastectomy due to breast cancer. Determining the method of reconstruction is often difficult as it depends on the location of the cancer and the amount of tissue excised.. Here, we present a new technique, using the vertical latissimus dorsi (LD) flap, that can be used in all partial mastectomies and can almost conceal scarring. We also compared these results to those of the mini LD flap. Methods We analyzed the data of a total of 50 and 47 patients, who underwent breast reconstruction with the mini LD flap and the vertical LD flap, respectively. Immediately after tumor excision, breast reconstruction was initiated. The skin flap for vertical LD was designed in a planarian shape, such that it may be hidden as much as possible and minimize bulging during closure, and the LD muscle flap was designed with a sufficient distance in the inferior direction. Results Our finding showed that the vertical LD flap group required significantly less total operation time than the mini LD flap group. While the mini-LD flap resulted in a scar that was difficult to conceal, the donor site scar of the vertical LD flap could not be seen easily, and no scar was visible on the back. Conclusions The vertical LD flap is useful for partial breast reconstruction, in all breast regions requires a rather small volume of the flap. Moreover, recovery was relatively fast with high patient satisfaction.

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Section: Discussionmentioning

confidence: 98%

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Lee

Ryu²,

Choi³

et al. 2022

BMC Surg

Self Cite

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show abstract

“…It is one of the most commonly used aps in reconstruction of small to moderate breast volumes. In a recent study, the transfer of the unilateral LD muscle to the breast, with an extended LD ap, did not interfere with shoulder function or daily life [17]. Mastectomy is a surgical treatment for breast cancer, which includes the aim of performing immediate breast reconstruction, simultaneously, after con rmation of oncological When patients have small breast volumes, total mastectomy, followed by reconstruction, is a viable option.…”

Section: Discussionmentioning

confidence: 99%

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Lee

Ryu

Choi

et al. 2022

Preprint

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BackgroundWe conducted a prospective cohort study to evaluate effective technique for breast reconstruction after partial mastectomy due to breast cancer. Depending on the location of the cancer and the amount excised, what method to employ is often difficult to determine. Here, we present a new technique, using the vertical LD flap, that can be used in all partial mastectomies and can almost hide scarring. We also compare these results to the mini-LD flap. MethodsWe analyzed a total of 50 and 47 patients, who underwent breast reconstruction with the mini-LD flap and the vertical LD flap, respectively. Immediately after cancer excision, work on reconstruction began. The skin flap for vertical LD was designed in a planaria shape, such that it may be hidden as much as possible and minimize bulging during closure, and the LD muscle flap was designed with a sufficient distance in the inferior direction.ResultsOur finding showed that the vertical LD flap group required significantly less total operation time than the mini-LD flap group. While the mini-LD flap resulted in a scar that was difficult to hide, the donor site scar of the vertical LD flap could not be seen easily, and no scar was visible on the back. ConclusionsThe vertical LD flap is capable of all partial breast reconstruction, can reconstruct defects in all breast regions, and requires a rather small volume of the flap. The patients show relatively fast recovery after the operation and high patient satisfaction.

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“…They concluded that the IBR group showed significantly smaller changes in postoperative spinal alignment compared with the MA group. Lee et al [18] also reported that there were significant difference in the Cobb angle between the IBR and MA group when using whole spine (pre-and post-operative Cobb angle; 6.5 and 5.8 in the IBR group, 5.3 and 6.8 in the MA group). However, we should carefully consider the clinical meaning of the results in these previous studies because the value is too small despite statistical significance.…”

Section: Plos Onementioning

confidence: 92%

“…In addition, breast cancer survivors are at elevated risk for spinal abnormalities (e.g., scoliosis) because of post-treatment changes in posture and bone health. Other authors [13][14][15][16][17][18][19] have evaluated the relationship between breast cancer surgery and spine deformity by means of radiological assessment. However, the findings of these studies are inconsistent, and most studies employed chest radiographs or dual energy X-ray absorptiometry to identify only thoracic or lumbar regions of the spine.…”

Section: Introductionmentioning

confidence: 99%

The effect of breast cancer surgery on spine alignment: Whole-spine radiograph analysis

et al. 2022

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Breast cancer survivors may experience spinal deformity following breast cancer surgery. This study investigated the long-term effects of breast cancer surgery on whole-spine alignment. This retrospective study included 200 patients who underwent breast cancer surgery and ≥2 anteroposterior standing whole-spine X-rays. The curvature of the spine was measured using the Cobb angle; changes in Cobb angle between X-rays were compared among three groups according to breast cancer surgery type. The mean interval between initial and follow-up X-ray was 28.46 ± 13.39 months. The change in Cobb angle was 0.40 ± 1.65 degrees and the absolute value of that change was 1.25 ± 1.15 degrees in all patients with breast cancer. There were no significant differences in angular change among groups according to breast cancer surgery type. Most patients showed minimal changes in spinal alignment after breast cancer surgery. Our findings indicate that breast cancer surgery does not negatively affect spinal alignment.

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Alteration in skeletal posture between breast reconstruction with latissimus dorsi flap and mastectomy: a prospective comparison study

Cited by 9 publications

References 16 publications

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

The effect of breast cancer surgery on spine alignment: Whole-spine radiograph analysis

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