scholarly journals Improvement in Existing Chest Wall Irregularities During Breast Reconstruction

2018 ◽  
Vol 25 (1) ◽  
pp. 107327481774446
Author(s):  
Katherine M. Huber ◽  
Amanda Zimmerman ◽  
Deniz Dayicioglu
Keyword(s):  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Risk Reduction ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Case Reports ◽  
Cosmetic Outcome ◽  
Cancer Resection

Mastectomies for both cancer resection and risk reduction are becoming more common. Existing chest wall irregularities are found in these women presenting for breast reconstruction after mastectomy and can pose reconstructive challenges. Women who desired breast reconstruction after mastectomy were evaluated preoperatively for existing chest wall irregularities. Case reports were selected to highlight common irregularities and methods for improving cosmetic outcome concurrently with breast reconstruction procedures. Muscular anomalies, pectus excavatum, scoliosis, polythelia case reports are discussed. Relevant data from the literature are presented. Chest wall irregularities are occasionally encountered in women who request breast reconstruction. Correction of these deformities is possible and safe during breast reconstruction and can lead to improved cosmetic outcome and patient satisfaction.

Quality of life, patient satisfaction and cosmetic outcome after delayed breast reconstruction using DIEP flap: a 10 years’ follow-up survey

2019 ◽  
Vol 53 (2) ◽  
pp. 119-124
Author(s):  
Berit Kristine Skraastad ◽  
Cathrine Knudsen ◽  
Catherine Jackson ◽  
Tor Paaske Utheim ◽  
Are Hugo Pripp ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Cosmetic Outcome ◽  
Diep Flap ◽  
Delayed Breast Reconstruction

The Epidemiology behind Pectus Excavatum: Clinical Study and Review of the Literature

2021 ◽  
Author(s):  
Konrad Reinshagen ◽  
Katja Kloth ◽  
Stefan Klohs ◽  
Jasmin Bhullar ◽  
Michael Boettcher ◽  
...  
Keyword(s):  
Family History ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Large Scale ◽  
Autosomal Recessive ◽  
Genetic Factors ◽  
Case Reports ◽  
Positive Family History ◽  
Review Of The Literature ◽  
Reduced Penetrance

Abstract Introduction Pectus excavatum (PE) is a funnel-shaped indentation of the sternum and is the most common deformity of the chest wall. It is associated with syndromic diseases but can occur as an isolated form. Familial occurrence is assumed in up to 40% of cases, but large-scale studies are lacking. Most of the data are obtained from case reports which postulate autosomal recessive, dominant with reduced penetrance, X-linked, and multifactorial patterns of inheritance. No monogenetic cause has been identified to date. This study was designed to provide basic information on the epidemiology, family history, and comorbidity for a large cohort of isolated PE and to show that there is an inheritance pattern for PE that indicates a genetic background. Materials and Methods A retrospective study was done using a paper-based questionnaire for all PE patients attending two specialized centers for chest wall deformities. Patients with isolated PE were included and asked to provide information on family history and comorbidities. Results Family history was available for 78 patients. A positive family history was found in 42 patients (54%) with a total of 53 affected family members. Conclusion The described family histories indicate an underlying genetic cause for PE. Identification of the genetic factors may contribute to characterize patients who are at risk of inheriting isolated PE.

scholarly journals Lateral chest wall perforator flaps in partial breast reconstruction

2022 ◽  
Vol 34 (1) ◽  
Author(s):  
Ahmed Orabi ◽  
Mina M G Youssef ◽  
Tamer M. Manie ◽  
Mohamed Shaalan ◽  
Tarek Hashem
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Operative Time ◽  
Standard Procedure ◽  
Cosmetic Outcome ◽  
Partial Mastectomy ◽  
Perforator Flaps ◽  
Oncoplastic Breast Surgery ◽  
Lateral Chest ◽  
Artery Perforator

Abstract Background Breast conserving surgery (BCS) has been a standard procedure for the treatment of breast cancer instead of mastectomy whenever possible. Lateral chest wall perforator flaps are one of the volume replacement techniques that participate in increasing the rate of BCS especially in small- to moderate-sized breasts with good cosmetic outcome. In this study, we tried to evaluate the outcome of those flaps as an oncoplastic procedure instead of the conventional flaps. Methods This study included 26 patients who underwent partial mastectomy with immediate reconstruction using lateral chest wall perforator flaps in the period from October 2019 to November 2020. The operative time, techniques, and complications were recorded. The cosmetic outcome was assessed 3 months post-radiation therapy through a questionnaire and photographic assessment. Results Lateral intercostal artery perforator (LICAP), lateral thoracic artery perforator (LTAP) and combined flaps were performed in 24, 1, and 1 patients, respectively. The mean operative time was 129.6 ± 13.2 min. The flap length ranged from 10 to 20 cm and its width from 5 to 9 cm. Overall patients’ satisfaction was observed to be 88.5% as either excellent or good and the photographic assessment was 96.2% as either excellent or good. Conclusions Lateral chest wall perforator flaps are reliable and safe option for partial breast reconstruction with an acceptable aesthetic outcome. In the era of oncoplastic breast surgery, they deserve to gain attention especially with the advantages of some modifications added to the classic technique.

scholarly journals Revision breast and chest wall reconstruction in Poland and pectus excavatum following implant complication using free deep inferior epigastric perforator flap

2015 ◽  
Vol 48 (01) ◽  
pp. 085-088 ◽  
Author(s):  
Dimitrios Dionyssiou ◽  
Efterpi Demiri ◽  
Georgios Batsis ◽  
Leonidas Pavlidis
Keyword(s):  
Breast Reconstruction ◽  
Female Patient ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Perforator Flap ◽  
Chest Wall Reconstruction ◽  
Chest Wall Deformity ◽  
Poland’S Syndrome ◽  
Poland's Syndrome ◽  
Deep Inferior Epigastric Perforator

ABSTRACTThis study aims to present the case of a female patient with Poland’s syndrome and pectus excavatum deformity who underwent breast and chest wall reconstruction with a pre-shaped free deep inferior epigastric perforator flap. A 57-year-old female patient with Poland’s syndrome and pectus excavatum presented with a Baker III capsular contracture following a previously performed implant-based right breast reconstruction. After a chest and abdominal CT angiography, she was staged as 2A1 chest wall deformity according to Park’s classification and underwent implant removal and capsulectomy, followed by a pre-shaped free abdominal flap transfer, providing both breast reconstruction and chest wall deformity correction in a single stage operation. Post-operative course was uneventful, and the aesthetic result remains highly satisfactory 24 months after surgery. Deep inferior epigastric free flap represents an interesting reconstructive solution when treating Poland’s syndrome female patients with chest wall and breast deformities.

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