Arch Plast Surg.  2017 Nov;44(6):502-508. 10.5999/aps.2017.00458.

Internal Mammary Artery Perforator Flap for Immediate Volume Replacement Following Wide Local Excision of Breast Cancer

• van Huizum MA
• Hage JJ
• Oldenburg
• Hoornweg M

• KMID: 2403951
• DOI: http://doi.org/10.5999/aps.2017.00458

Abstract

BACKGROUND
Breast-conserving therapy is defined as a breast-conserving wide local excision (WLE) of a mammary tumour combined with postoperative radiotherapy. Immediate restoration of the mammary shape by use of breast reduction techniques (volume displacement) or tissue replacement techniques (volume replacement) is gaining popularity to prevent breast malformation.
METHODS
To date, using the internal mammary artery perforator (IMAP) flap has been suggested for immediate volume replacement after WLE, but has never been evaluated in a published study.
RESULTS
We applied this flap in 12 women (mean age, 56.1 years) after WLE (mean specimen weight, 46.5 g) of the medial aspect of the breast. Over a median follow-up of 35.3 months (standard deviation, 1.2 months), 4 women needed repeated surgery for dog-ear correction of the donor site.
CONCLUSIONS
In our experience, the use of an IMAP flap was a reliable technique with good cosmetic outcomes after oncoplastic reconstruction. In this series, donor site revision often proved necessary initially, but we showed that this may easily be prevented.

Keyword

Breast neoplasms; Perforator flap; Mammaplasty; Mastectomy, segmental

MeSH Terms

Breast Neoplasms*
Breast*
Female
Fluspirilene
Follow-Up Studies
Humans
Mammaplasty
Mammary Arteries*
Mastectomy, Segmental
Perforator Flap*
Radiotherapy
Tissue Donors
Fluspirilene