Modified Grisotti flap in partial breast reconstruction after extensive excision of retroareolar cancer

Szynglarewicz, B.; Michalik, Tomasz; Szulc, R.; Oleszkiewicz, B.; Zukrowski, P.; Slupianek, K.; Maciejczyk, Adam; Matkowski, Rafał

doi:10.1016/j.ejso.2018.10.160

Cited by 2 publications

(1 citation statement)

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“…There is a mounting evidence that performing a Grisotti flap for retroareolar tumours is oncologically safe in properly selected patients [ 2 , 9 , 10 ]. This modification of the Grisotti flap is a safe and offers a good alternative for patients with retroareolar tumours with a short NAC–IMF distance and allows expansion of the oncoplastic surgeon’s armamentarium.…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic breast surgery technique for retroareolar breast cancer: a technical modification of the Grisotti flap in patients with short nipple to inferior mammary crease distance

Johnson

Cook

Rapisarda

et al. 2020

Journal of Surgical Case Reports

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The introduction of breast conservation surgery together with advances in oncoplastic techniques has revolutionized the management of retroareolar breast tumours. Traditionally, cancers in this location were often managed with central excision and primary closure or mastectomy. More recently, oncoplastic breast-conserving techniques such as the Grisotti mammoplasty have been increasingly encouraged as an alternative option as it allows oncological safe margin resections while restoring cosmesis. The use of a Grisotti flap enables safe resection of a retroareolar tumour with concurrent reconstruction of the defect using a local rotational advancement dermoglandular flap allowing a satisfactory cosmetic result in term of contour and projection. This technique is often limited to those patients with sufficient native nipple-inferior mammary fold (IMF) distance to accommodate for some inevitable post-operative reduction in this distance. We describe a modification of the original description, such that satisfactory cosmetic outcome can be achieved, even in patients with a short nipple areolar complex to inframammary fold distance.

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Section: Discussionmentioning

confidence: 99%

Oncoplastic breast surgery technique for retroareolar breast cancer: a technical modification of the Grisotti flap in patients with short nipple to inferior mammary crease distance

Johnson

Cook

Rapisarda

et al. 2020

Journal of Surgical Case Reports

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Combining the Grisotti flap with a secondary dermoglandular pedicle for partial breast reconstruction following contiguous central-inferior segment breast cancer excision

Malata

See

Kazzazi

et al. 2021

Case Reports in Plastic Surgery and Hand Surgery

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A 61-year-old patient (38DD) with multifocal invasive ductal carcinomas requested breast-conserving surgery. An innovative two pedicle combination using a laterally-based Grisotti flap and an inferomedially-based secondary pedicle was designed to reconstruct a combined central breast (NAC included) and inferior segment resection defect. Satisfactory cosmesis with clear resection margins was achieved.

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Modified Grisotti flap in partial breast reconstruction after extensive excision of retroareolar cancer

Cited by 2 publications

References 0 publications

Oncoplastic breast surgery technique for retroareolar breast cancer: a technical modification of the Grisotti flap in patients with short nipple to inferior mammary crease distance

Oncoplastic breast surgery technique for retroareolar breast cancer: a technical modification of the Grisotti flap in patients with short nipple to inferior mammary crease distance

Combining the Grisotti flap with a secondary dermoglandular pedicle for partial breast reconstruction following contiguous central-inferior segment breast cancer excision

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