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KMID : 1134120070100030217
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Journal of Breast Cancer
2007 Volume.10 No. 3 p.217 ~ p.222
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Immediate Conservative Breast Reconstruction Technique using Lateral Thoracodorsal Fasciocutaneous Flap
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Koh Sang-Hwa
Bae Young-Tae
Seo Hyung-Il
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Abstract
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Purpose: A lateral thoracodorsal fasciocutaneous flap (LTFF) is a local fasciocutaneous flap that has been used in breast reconstructions since the 1980s. Although the LTFF is a well-studied reconstruction procedure after radical surgery in We- stern countries, there is no report in Korea. By introducing the LTFF procedure, we suggest an easy reconstruction technique that can be performed by the breast surgeon di- rectly.
Method: Patients with lateral breast cancer and redundant lateral thoracic region might be candidates for this procedure. The flap consists of the lateral and dorsal extensions of the inframammarian fold as well as an extended line from the anterior axillary line. A quadrantectomy is performed through a planned skin incision, and an axillary lymph node dissection can be performed simultaneously if the sentinel lymph node is positive. The skin and subcutaneous fat with the fascia of the serratus anterior and latissimus dorsi muscle should be dissected carefully. A wedge-shaped flap can be acquired successfully. The lateral breast defect is then reconstructed by a rotation of the flap. The axis of the flap is drawn following the inframammarian fold so that the final scar would be under the brassiere line.
Results: Nineteen patients were treated with the LTFF after breast conserving surgery. All tumors were located in lateral breast regions. Seroma occurred in three and partial fat nec- rosis and partial flap necrosis were observed in each one. The cosmetic result based on four-point scoring system of breast cosmesis showed excellent in seventeen and good in two.
Conclusions: Despite its long scar line, with appropriate pa- tient selection, a LTFF might be a useful method for breast reconstructions.
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KEYWORD
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Breast cancer, Reconstruction, Lateral Thoracodorsal Fasciocu- taneous Flap
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