J Breast Cancer.  2013 Dec;16(4):438-441. 10.4048/jbc.2013.16.4.438.

Expander/Implant Breast Reconstruction after Reconstruction Using an Extended Cutaneous Thoracoabdominal Flap: A Case Report

• Cogliandro A
• Cagli B
• Filoni A
• Cassotta G
• Tenna S
• Persichetti P

• KMID: 1976383
• DOI: http://doi.org/10.4048/jbc.2013.16.4.438

Abstract

Many flaps have been described and are being used in the reconstruction of extensive tissue defects in the thoracic wall. The extended cutaneous thoracoabdominal flap, described in 2006, is an excellent option for chest wall reconstruction in patients with advanced breast cancer, being associated with a low morbidity rate and good functional results. The main disadvantage of this technique is the poor cosmetic outcome and the complete absence of a breast crease. We present the first case of a two-stage heterologous breast reconstruction after reconstruction using an extended cutaneous thoracoabdominal flap.

Keyword

Expander/implant reconstruction; Extended thoracoabdominal flap; Mammaplasty; Neoplasms

MeSH Terms

Breast Neoplasms
Breast*
Female
Humans
Mammaplasty*
Thoracic Wall

Figure

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  Figure 1 Intraoperative view after left radical mastectomy including only the pectoralis fascia with extensive skin paddle resection.

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  Figure 2 Immediate intraoperative view after chest wall reconstruction with thoraco-abdominal flap.

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  Figure 3 (A, B, C) Postoperative view after chest wall reconstruction.

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  Figure 4 Postoperative frontal (A) and oblique (B) view after second stage reconstruction with permanent implant Natrelle 410 FF 740-cc anatomical permanent implant and contralateral augmentation mammaplasty with inframammary incision.

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