TY - JOUR
T1 - Treatment of breast deformity with free deep inferior epigastric perforator flap secondary to pectoralis major flap harvesting
AU - Ou, Kuang-Ling
AU - Chen, Tim-Mo
AU - Dai, Nian-Tzyy
AU - Chang, Shun-Cheng
AU - Deng, Shou-Cheng
AU - Tzeng, Yuan-Sheng
AU - Wang, Chih-Hsin
AU - Chen, Shyi-Gen
N1 - Export Date: 21 March 2016
通訊地址: Chen, S.-G.; Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, 325, Section 2, Cheng-Kung Road, Nei-Hu 114, Taipei, Taiwan; 電子郵件: [email protected]
參考文獻: El-Marakby, H.H., The reliability of pectoralis major myocutaneous flap in head and neck reconstruction (2006) J Egypt Natl Canc Inst, 18, pp. 41-50; Lui, H.L., Chan, J.Y., Wei, W.I., The changing role of pectoralis major flap in head and neck reconstruction (2010) Eur Arch Otorhinolaryngol, 267, pp. 1759-1763; Huang, S., Liu, H.E., Effectiveness of cosmetic rehabilitation on the body image of oral cancer patients in Taiwan (2008) Support Care Cancer, 16, pp. 981-986; Chang, D.W., Breast reconstruction with microvascular MS-TRAM and DIEP flaps (2012) Arch Plast Surg, 39, pp. 3-10; Feng, C.H., Cheng, M.H., Ulusal, B.G., Simultaneous contralateral breast reduction with breast reconstruction using dIEP/ SIEA flap (2006) J Plast Surg Asso ROC, 15, pp. 315-321; Lee, T.P., Chen, S.G., Reconstruction of female Poland Syndrome with de-epithelialized pedicled transverse rectus abdominis myocutaneous flap (2007) J Plast Surg Assoc ROC, 16, pp. 232-240; Tachi, M., Yamada, A., Choice of flaps for breast reconstruction (2005) Int J Clin Oncol, 10, pp. 289-297
PY - 2014
Y1 - 2014
N2 - Head and neck cancer is less common in women than in men. Free tissue transfer is the first choice in reconstructive option for head and neck tumor. Pedicle pectoralis major (PM) flap was a common option in head neck reconstruction in the past, but has become the salvage procedure when free flap fails. However, it is not suitable for female patients because of severe breast deformity and induced psychosocial distress. We present a female patient who had breast deformity due to PM flap reconstruction and was successfully treated with free deep inferior epigastric perforator (DIEP) flap. A 48-year-old woman had squamous cell carcinoma in the left side buccal mucosa, T2N0M0, stage II s/p wide excision with partial resection of maxilla and marginal resection of mandible. Free anterolateral thigh flap had been tried but in vain, then alternatively salvaged with a pedicle PM flap 3 years earlier. She presented with malposition of the left breast, nipple retraction, and high riding. We adequately released the contracture and reconstructed with a free DIEP flap. The free DIEP flap survived completely and restored a balanced breast with good shape and symmetry at 1-year follow-up. Although PM flap is a good modality in head and neck reconstruction, it should be used cautiously especially in female patients. The free DIEP flap is not only suitable for breast reconstruction in breast cancer patient, but also a good choice for a different purpose of breast reconstruction such as this patient with breast deformity due to PM flap harvest. © 2013.
AB - Head and neck cancer is less common in women than in men. Free tissue transfer is the first choice in reconstructive option for head and neck tumor. Pedicle pectoralis major (PM) flap was a common option in head neck reconstruction in the past, but has become the salvage procedure when free flap fails. However, it is not suitable for female patients because of severe breast deformity and induced psychosocial distress. We present a female patient who had breast deformity due to PM flap reconstruction and was successfully treated with free deep inferior epigastric perforator (DIEP) flap. A 48-year-old woman had squamous cell carcinoma in the left side buccal mucosa, T2N0M0, stage II s/p wide excision with partial resection of maxilla and marginal resection of mandible. Free anterolateral thigh flap had been tried but in vain, then alternatively salvaged with a pedicle PM flap 3 years earlier. She presented with malposition of the left breast, nipple retraction, and high riding. We adequately released the contracture and reconstructed with a free DIEP flap. The free DIEP flap survived completely and restored a balanced breast with good shape and symmetry at 1-year follow-up. Although PM flap is a good modality in head and neck reconstruction, it should be used cautiously especially in female patients. The free DIEP flap is not only suitable for breast reconstruction in breast cancer patient, but also a good choice for a different purpose of breast reconstruction such as this patient with breast deformity due to PM flap harvest. © 2013.
KW - Deep inferior epigastric perforator flap
KW - Head and neck cancer
KW - Pectoralis major flap
KW - adult
KW - anterolateral thigh flap
KW - article
KW - body image
KW - breast malformation
KW - breast reconstruction
KW - cancer staging
KW - case report
KW - cheek mucosa
KW - deep inferior epigastric perforator flap
KW - Doppler flowmetry
KW - female
KW - follow up
KW - human
KW - mandible resection
KW - mental stress
KW - middle aged
KW - nipple malformation
KW - pectoralis major muscle
KW - pedicled skin flap
KW - priority journal
KW - rectus abdominis muscle
KW - squamous cell carcinoma
KW - wide excision
U2 - 10.1016/j.fjs.2013.05.008
DO - 10.1016/j.fjs.2013.05.008
M3 - Article
SN - 1682-606X
VL - 47
SP - 32
EP - 35
JO - Formosan Journal of Surgery
JF - Formosan Journal of Surgery
IS - 1
ER -