Short-term Assessment of Aesthetic Outcomes of Parenchymal Rotational Flap Reconstruction for Breast Cancer in upper outer quadrant

Document Type : Full Length research Papers

Authors

General surgery department Faculty of Medicine Fayoum university

Abstract

Background:
Breasts, symbolizing femininity and body image, can be affected by cancer ablative surgery, potentially affecting perception, psychosexual wellbeing, and quality of life.
Aim:
To evaluate the early aesthetic outcomes of breast cancer in upper outer quadrant using a parenchymal rotational flap.
Patients & methods:
This prospective research was performed on 13 breast cancer cases surgically managed with volume displacement oncoplastic techniques (matrix dermoglandular rotational flap) in Fayoum University Hospitals from March 2022 to March 2023. Patients were examined at the outpatient breast surgery clinic, and further surgical and medical evaluations were completed in the inpatient ward.
Results:
The BCCT esthetic outcome was stated to be excellent in 2 (15.4%) cases, good in 9 (69.1%) patients, fair in 2 (15.4%) patients, and no patient was poor. Mean largest tumor diameter in studied patients was 3±0.81 cm with a median largest tumor diameter 3 cm ranging between 2 and 4 cm. ACR showed significant relationship with BCCT esthetic outcome, in which excellent and good outcome was higher in B+C ACR than A+D ACR. There were no complications in the studied patients.
Conclusion:
Parenchymal rotational flap repair for breast cancer is a novel technique that effectively addresses abnormalities and substantial volume loss. It is suitable for this patient population because to its broad rotational range and consistent vascularity. It may provide a visually pleasing outcome and is regarded as a secure alternate method to more intricate procedures.

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Fayoum University Medical Journal
Volume 14, Issue 1
Surgical Subspecialties
October 2024
Pages 142-152

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