Abstract
Partial defects can occur after BCT or oncoplastic operations. They can be primarily corrected (see Chap. XXX) or treated secondarily. These defects can be pure volume defects, i.e. the breast has less volume than the opposite side. Or removal of breast tissue and skin leads to a combined volume and skin deficit, which changes the breast shape. This also manifests itself in the asymmetry of the breasts. However, the removal of the skin causes a change in the shape of the breast and usually a distortion of the NAC. The reconstruction of these breasts is difficult. A further complication is that the breasts are usually irradiated as part of oncological therapy. The tissue of these patients in particular is usually somewhat firmer and less elastic. In addition, interventions after radiation can lead to increased wound-healing disorders.
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Literature
Bohmert H. Experience in breast reconstruction with thoraco-epigastric and advancement flaps. Acta Chir Belg. 1980;79:105–10.
Chetta MD, Aliu O, Zhong L, Sears ED, Waljee JF, Chung KC, Momoh AO. Reconstruction of the irradiated breast: a national claims-based assessment of postoperative morbidity. Plast Reconstr Surg. 2017;139:783–92.
Hakakian CS, Lockhart RA, Kulber DA, Aronowitz JA. Lateral intercostal artery perforator flap in breast reconstruction: a simplified pedicle permits an expanded role. Ann Plast Surg. 2016;76(Suppl 3):S184–90.
Hamdi M, Van Landuyt K, de Frene B, Roche N, Blondeel P, Monstrey S. The versatility of the inter-costal artery perforator (ICAP) flaps. J Plast Reconstr Aesthet Surg. 2006;59:644–52.
Jeon EY, Cho YK, Yoon DY, Seo YL, Lim KJ, Yun EJ. Angiographic analysis of the lateral intercostal artery perforator of the posterior intercostal artery: anatomic variation and clinical significance. Diagn Interv Radiol. 2015;21:415–8.
Mirzabeigi MN, Lanni M, Chang CS, Stark RY, Kovach SJ, Wu LC, Serletti JM, Bucky LP. Treating breast conservation therapy defects with brava and fat grafting: technique, outcomes, and safety profile. Plast Reconstr Surg. 2017;140:372e–81e.
Persichetti P, Tenna S, Brunetti B, Aveta A, Segreto F, Marangi GF. Anterior intercostal artery perforator flap autologous augmentation in bariatric mastopexy. Plast Reconstr Surg. 2012;130:917–25.
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Fansa, H., Heitmann, C. (2019). Secondary Reconstruction of Partial Defects. In: Breast Reconstruction with Autologous Tissue. Springer, Cham. https://doi.org/10.1007/978-3-319-95468-4_12
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DOI: https://doi.org/10.1007/978-3-319-95468-4_12
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