Internal Mammary Vessels as a Recipient Site for Free Flap Breast Reconstruction

2002 ◽  
Vol 16 (1) ◽  
pp. 109-118 ◽  
Author(s):  
Steven D. Vath ◽  
Charles L. Dupin ◽  
Robert J. Allen
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Recipient Site ◽  
Internal Mammary ◽  
Internal Mammary Vessels

scholarly journals Short-Term Effects of Radiotherapy Postquadrantectomy on Internal Mammary Artery and Vein

2013 ◽  
Vol 2013 ◽  
pp. 1-7
Author(s):  
Mario Cherubino ◽  
Stefano Scamoni ◽  
Dominic Taibi ◽  
Francesca Maggiulli ◽  
Igor Pellegatta ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Internal Mammary Artery ◽  
Pedicled Flap ◽  
Whole Breast Irradiation ◽  
Breast Irradiation ◽  
Recipient Site ◽  
Ultrasound Evaluation ◽  
Internal Mammary ◽  
Internal Mammary Vessels ◽  
Arteries And Veins

When a tumor local recurrence occurs a possible approach can be a mastectomy with simultaneous breast reconstruction with autologous tissue. The area involved by tangential radiation portals includes also the internal mammary artery and veins, considered by the most part of plastic surgeons to be the best recipient vessels for a free flap in breast reconstruction. Internal mammary vessels receives low but not necessary insignificant doses during whole breast irradiation; arteries and veins are traditionally considered quietly resistant to the irradiation but limited data on the flux in mammary vessels after radiotherapy are available. The goal of our study (37 patients from September 2011 to February 2012) was to evaluate modifications in vascular parameters of the flux at ultrasonography in the internal mammary chain after adjuvant radiotherapy that could influence the choice of the autologous surgical technique (free or pedicled flap) and the choice of the recipient vessels in breast reconstruction. Based on the results of our study, we would recommend avoiding an irradiated recipient site when no irradiated recipient vessels are available; a preoperative ultrasound evaluation is recommended in patients underwent whole breast irradiation.

Effect of internal mammary vessels radiation dose on outcomes of free flap breast reconstruction

2019 ◽  
Vol 25 (2) ◽  
pp. 286-289
Author(s):  
Orit Kaidar-Person ◽  
Michael J. Eblan ◽  
Joseph M. Caster ◽  
Amita R. Shah ◽  
David Fried ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary ◽  
Internal Mammary Vessels
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