Eliminating the dog-ear in modified radical mastectomy

Farrar, William B.; Fanning, William J.

doi:10.1016/s0002-9610(88)80197-1

Cited by 22 publications

(16 citation statements)

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“…One option is to bring the redundant axillary tissue forward and create a ''T'' or ''Y'' configuration at the lateral aspect of the transverse mastectomy incision [56]. Alternatively, the redundant axillary skin and fatty tissue can be resected either by elongating the standard elliptical mastectomy wound or by using a broad tear-drop incision, with the point of the tear-drop oriented medially [57,58].…”

Section: Incisional Dog-earsmentioning

confidence: 99%

Complications in Breast Surgery

Vitug

Newman

2007

Surgical Clinics of North America

154

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The breast is a relatively clean organ comprised of skin, fatty tissue, and mammary glandular elements that have no direct connection to any major body cavity or visceral structures. In the absence of concurrent major reconstruction, breast surgery generally is not accompanied by large-scale fluid shifts, infectious complications, or hemorrhage. Thus, most breast operations are categorized as low-morbidity procedures. Because the breast is the site of the most common cancer afflicting American women, however, a variety of complications can occur in association with diagnostic and multidisciplinary management procedures. Some of these complications are related to the breast itself, and others are associated with axillary staging procedures. This article first addresses some general, nonspecific complications (wound infections, seroma formation, hematoma). It then discusses complications that are specific to particular breast-related procedures: lumpectomy (including both diagnostic open biopsy and breast-conservation therapy for cancer), mastectomy; axillary lymph node dissection (ALND), lymphatic mapping/sentinel lymph node biopsy, and reconstruction. Complications related to reconstruction are discussed in a separate article in this issue. General wound complications related to breast and axillary surgeryBecause it is a peripheral soft tissue organ, many wound complications related to breast procedures are relatively minor and frequently are managed on an outpatient basis. It therefore is difficult to establish accurate incidence rates for these events. As discussed later, however, reported studies

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Section: Incisional Dog-earsmentioning

confidence: 99%

Complications in Breast Surgery

Vitug

Newman

2007

Surgical Clinics of North America

154

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“…The exact number of cases of the deformity is unknown. The first described method for eliminating dog‐ear after mastectomy was by Farrar and Fanning in 1988. They described an adjustment of the traditional transverse scar with a modified Y closure, first closing the medial aspect of the mastectomy incision, then pulling the lateral corner medially with excision of the resultant skin flaps.…”

Section: Discussionmentioning

confidence: 99%

“…The postsurgical incisional complication of increased lateral adiposity, also known as a “dog ear” deformity, is a common finding in overweight or obese patients undergoing mastectomy without reconstruction (Figure ) . These triangular or cone‐shaped flaps of redundant skin and fatty tissue at the lateral aspect of the mastectomy incision are a frequent source of patient complaints and create many patient challenges, including physical discomfort, chaffing, sensation of fullness or heaviness, difficulty with prosthetics, and difficulty finding appropriate fitting clothing or brassieres .…”

Section: Introductionmentioning

confidence: 99%

The Angel Wings Incision: A novel solution for mastectomy patients with increased lateral adiposity

et al. 2019

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Many techniques have been proposed to address the problem of increased lateral adiposity in patients undergoing mastectomy, however, there is no standard approach. This cosmetic deformity at the lateral end of the mastectomy scar, also known as a dog ear, is especially common in obese patients. This defect can be unsightly and uncomfortable. We describe a technique for creating a winged incision to eliminate the dog ear deformity. The Angel Wings Incision results in tissue flaps that create a smooth body contour upon closure in patients with increased lateral adiposity. The technique is reproducible, aesthetically pleasing, and improves patient satisfaction.

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“…Nevertheless, surgical techniques mentioned previously, improving cosmetic outcomes, do not facilitate the access to axillary fossa and do not make the lymph node dissection easier. In 1988, 2 teams (Farrar et al 23 and Nowacki and Towpik 24 ), independent of each other, described a modification of the traditional transverse scar, which was called as a fish-shaped incision. It was constructed by adding 2 triangular incisions at the axilla region, which corrected the inequality of wound edges.…”

Section: Discussionmentioning

confidence: 99%