Dual perforator propeller internal mammary artery perforator (IMAP) flap for soft-tissue defect of the contralateral clavicular area

Rüegg, Eva Meia; Lantieri, Laurent; Marchac, Alexandre

doi:10.1016/j.bjps.2012.03.009

Cited by 19 publications

(16 citation statements)

References 12 publications

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“…Ruegg et al raised a dual perforator propeller IMAP flap from contralateral breast to cover a clavicular defect . Their flap was smaller (20 cm × 12 cm) and thicker since they raised the flap in a suprafascial plane by including breast tissue.…”

Section: Discussionmentioning

confidence: 99%

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Internal mammary artery perforator propeller flap for contralateral mastectomy defect: A case report

2016

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The internal mammary artery perforator (IMAP) flap can be used as either loco-regional or free flap, and provides thin flexible coverage for defects of the chest wall and cervical regions. In this report, we present a bilateral mastectomy case in which the left mastectomy defect was closed with an IMAP propeller flap harvested from the right breast. Our patient with a history of left breast conservation therapy was diagnosed invasive ductal carcinoma in her left breast 14 years later. On physical examination, the patient's left breast displayed the stigmata of radiotherapy including dark discoloration and firmness to palpation, compared to contralateral pendulous breast. After bilateral mastectomy, an IMAP flap with a size of 26 cm × 11 cm was harvested from right chest and was transposed 180 degrees clockwise in a propeller fashion to the left mastectomy defect without any tension. The flap survived without any complication and the patient was free of recurrence or metastases during the follow-up of 18 months. The patient was satisfied with the outcome. IMAP propeller flap could be harvested safely to the anterior axillary fold in the subcutaneous fat plane. It may provide a large skin paddle especially in large breasted women. © 2016 Wiley Periodicals, Inc. Microsurgery 36:507-510, 2016.

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Section: Discussionmentioning

confidence: 99%

“…The IMAP flap can be used as either local or free flap and provides thin, flexible coverage. In the literature, this flap has been utilized to reconstruct defects on head, anterior neck, clavicular region, sternum, pharyngoesophageal region, and funnel chest deformity …”

mentioning

confidence: 99%

Internal mammary artery perforator propeller flap for contralateral mastectomy defect: A case report

2016

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“…Despite that the benefits of incorporating multiple perforators within pedicled flaps have been demonstrated in some experimental studies, 10,11 clinical studies showing the clinical reliability of multiple perforator-based pedicled flaps in a substantial series have been sparse, and most studies were published as case reports with very small sample sizes. 13,14 The scarcity of clinical studies may be attributable to surgeons' concerns regarding compromised flap perfusion by kinking or tethering among multiple perforators during flap transposition. In fact, Keles et al demonstrated that although double pedicles support a larger vascular territory than a single pedicle in a non-rotated state, they do not increase flap survival area after the pedicles are rotated.…”

Section: Discussionmentioning

confidence: 99%

Reliable transfer of multiple perforator‐based pedicled flaps: Surgical technique and clinical outcomes

et al. 2015

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“…Ruegg et al raised a dual perforator propeller IMAP flap from contralateral breast to cover a clavicular defect. 7 Their flap was smaller (20 cm 3 12 cm) and thicker since they raised the flap in a suprafascial plane by including breast tissue.…”

Section: Discussionmentioning

confidence: 99%

“…The IMAP flap can be used as either local or free flap 4 and provides thin, flexible coverage. In the literature, this flap has been utilized to reconstruct defects on head, 4,5 anterior neck, 2,6 clavicular region, 7 sternum, 8 pharyngoesophageal region, 9 and funnel chest deformity. 10 As a result of the evolution in treatment of breast cancer including breast conservation therapy, skin/nipple sparing mastectomy, and advanced technology in radiotherapy, we are experiencing less chest wounds related to breast cancer.…”

mentioning

confidence: 99%

Internal Mammary Artery Perforator Propeller Salvage Flap for Contraleral Mastectomy Defect

Dölen¹,

Tung²

2015

Plastic and Reconstructive Surgery

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The internal mammary artery perforator (IMAP) flap can be used as either loco-regional or free flap, and provides thin flexible coverage for defects of the chest wall and cervical regions. In this report, we present a bilateral mastectomy case in which the left mastectomy defect was closed with an IMAP propeller flap harvested from the right breast. Our patient with a history of left breast conservation therapy was diagnosed invasive ductal carcinoma in her left breast 14 years later. On physical examination, the patient's left breast displayed the stigmata of radiotherapy including dark discoloration and firmness to palpation, compared to contralateral pendulous breast. After bilateral mastectomy, an IMAP flap with a size of 26 cm 3 11 cm was harvested from right chest and was transposed 180 degrees clockwise in a propeller fashion to the left mastectomy defect without any tension. The flap survived without any complication and the patient was free of recurrence or metastases during the follow-up of 18 months. The patient was satisfied with the outcome. IMAP propeller flap could be harvested safely to the anterior axillary fold in the subcutaneous fat plane. It may provide a large skin paddle especially in large breasted women. V C 2016 Wiley Periodicals, Inc. Microsurgery 36:507-510, 2016.

show abstract

Dual perforator propeller internal mammary artery perforator (IMAP) flap for soft-tissue defect of the contralateral clavicular area

Cited by 19 publications

References 12 publications

Internal mammary artery perforator propeller flap for contralateral mastectomy defect: A case report

Internal mammary artery perforator propeller flap for contralateral mastectomy defect: A case report

Reliable transfer of multiple perforator‐based pedicled flaps: Surgical technique and clinical outcomes

Internal Mammary Artery Perforator Propeller Salvage Flap for Contraleral Mastectomy Defect

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