Dermoglandular Rotational Flaps 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.2025.402411.1436 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Ibrahim1; Hany Habashy1; Ayman Abdel Hamid1; Maged Hussien2; Mohamed Farag  3
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| 1Faculty of medicine Fayoum university | ||||
| 2Faculty of medicine FayoumUniversity | ||||
| 3General surgery department Faculty of medicine Fayoum university | ||||
| Abstract | ||||
| BACKGROUND: Oncoplastic breast surgery has been expanded several times to include a wide variety of innovative plastic and reconstructive surgical techniques to get better aesthetic and oncological outcomes for breast cancer patients (1). Dermoglandular volume displacement oncoplastic techniques can provide a good volume of parenchymal tissue for breast reconstruction especially for the multifocal lesions and peripherally located tumours (2). PATIENTS AND METHODS: From March 2022 to February 2023, 40 patients presented with T1 and T2 peripherally located breast cancer and multifocal lesions and fullfilling our eligibility criteria were enrolled in this prospective study in Fayoum university hospitals. They were managed via different transposed local dermoglandular flaps “Volume displacement”. Short-term aesthetic outcomes were evaluated objectively two years after ssurgery and after adjuvant radiotherapy by the semi-automated Breast Cancer Conservative Treatment (BCCT) core software. RESULTS: Our study has included 40 patients with age range from 36 to 63 years old (mean 49 ± 2.5 years). The mean tumour size and specimen size according to the pathological report was 3 ± 0.5 cm and 240 ± 45 cc, respectively. The overall aesthetic results according to the BCCT core software were excellent in 4 cases (10%), good in 24 cases (60%), fair in 10 case (25%) and poor in 2 cases (10%). Our overall complication rate was 10%; four patients developed bruises with partial wound dehiscence which were managed conservatively. There is no cases of inadequate margins of excision or recurrence over two years follow-up peroid. CONCLUSION: Dermoglandular rotational flaps enabled us to overcome the faced reconstructive challenges in all breast quadrants for the peripherally located and multifocal lesions; it achieved good aesthetic outcomes for most of our breast cancer patients. | ||||
| Keywords | ||||
| Dermoglandular flap; Rotational flap; breast cancer | ||||
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