Modified anterior intercostal artery perforator rotational flap in lower pole breast cancers: a new technique | ||
| The Egyptian Journal of Surgery | ||
| Volume 41, Issue 4, October 2022 PDF (2.76 M) | ||
| DOI: 10.4103/ejs.ejs_189_22 | ||
| Authors | ||
| Paula S.N. Sadary; Mohamed A.M. Khalaf Allah; Dina H. Ahmed Abdelaziz; Mahmoud T.R. Emam; Ahmed G. Eldin Othman Farag | ||
| Abstract | ||
| Background Breast cancer, according to the National Cancer Institute, is the most common cancer in women in Egypt, as it accounts for ∼38.8% of total malignancies among Egyptian women. It is an important cause of mortality among women. Aim To evaluate the postoperative cosmetic outcome of a new surgical technique, that is, modified anterior intercostal artery perforator flap, in lower pole breast cancers at 4 and 5 o’clock positions and at 7 and 8 o’clock positions of right or left breast. Patients and methods This was a prospective descriptive study conducted on patients having breast masses at the lower pole at 4 and 5 o’clock positions and at 7 and 8 o’clock positions. Results In this study, 10 (66.7%) patients gave excellent degree of satisfaction to the postoperative cosmetic outcome of our surgical procedure, four (26.7%) patients gave good degree, and one (6.7%) patient gave fair degree of satisfaction. Conclusion ‘Modified anterior intercostal artery perforator flap’ is a new, easy, and feasible technique that shows satisfactory results in patients having breast masses at the lower pole at 4 and 5 o’clock positions and at 7 and 8 o’clock positions of either breast having a cup size of A or B and tumor size of T1 or T2 according to TNM staging. We recommend to perform this new technique on a larger scale of patients and for a longer period of follow-up so as to get more information on advantages and drawbacks of this technique. | ||
| Keywords | ||
| anterior intercostal artery; breast cancer; lower pole breast cancer | ||
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