"Dermoglandular Flap Lengthening: A Novel Oncoplastic Technique for Breast Cancer" | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 06 September 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2025.413673.1443 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Mohamed Farag 
| ||||
| General surgery department Faculty of medicine Fayoum university | ||||
| Abstract | ||||
| BACKGROUND: Oncoplastic breast surgery has evolved significantly to include innovative reconstructive techniques that enhance both oncological safety and cosmetic outcomes (1). Dermoglandular volume displacement flaps are particularly useful when extensive glandular or skin excision is required (2). However, challenges such as wound edge length discrepancies can lead to breast mound flattening, dog-ear formation, and suture line tension (3,4). PATIENTS AND METHODS: From January 2022 to February 2023, fifteen patients with lower outer quadrant breast cancer, including multifocal tumors with expected excision volume less than 30% of the breast volume, were prospectively enrolled. All underwent breast-conserving surgery with volume displacement reconstruction using a novel technique involving two fusiform back cuts—termed the “Anchor Oncoplastic Technique.” Aesthetic outcomes were objectively evaluated two years postoperatively and after completion of the adjuvant radiotherapy using the Breast Cancer Conservative Treatment (BCCT) core software. RESULTS: Patients ranged in age from 38 to 56 years (mean 46 ± 2.5 years). The average tumor size was 3 ± 0.5 cm, and the mean specimen volume was 215 ± 45 cc according to the postoperative pathology report. Breast volume ranged from 640 to 1160 cc (mean 823 ± 47 cc). Aesthetic results were rated as excellent in 4 patients (26.7%), good in 9 (60%), and fair in 2 (13.3%) based on BCCT.core analysis. The overall complication rate was 20%, consisting solely of self-limiting bruising. There were no cases of margin involvement or local recurrence at two-year follow-up. CONCLUSION: The Anchor Oncoplastic Technique is oncologically safe and effectively addresses reconstruction challenges in the lower outer quadrant. It allows for adequate flap mobilization while preserving aesthetic integrity and minimizing complications. | ||||
| Keywords | ||||
| Dermoglandular flap; flap lengthening; anchor oncoplastic technique; breast cancer | ||||
|
Statistics Article View: 1 |
||||
