The incidence of breast cancer and the number of patients who have been done radical or modified radical mastectomy has increased. Because of the psychological, social and aesthetic problems after mastectomy, it is the trend that most of the want to Breast reconstruction patients.
Many methods were introduced to reconstruct the breast ; muscle or skin flaps, tissue exander and breast implants. The alloplastic implants are recently discussed for the problems of human adjuvant disease or possibilities of carcinogenesis and so on. Authors used autogenous tissues of latissimus dorsi masculocutaneous flap and rectus abdominis musculocutaneous flap to reconstruct the breast.
Authors used the following method ; breast mound was reconstruction with latissimus dorsi musculocutaneous flap and transverse rectus abdominis musculocutaneous flap, nipple with ear lobe composite graft, the areolar with full thickness skin graft from upper inner thigh, and Montgomery gland with dices of conchal cartilage respectivly.
In the case of reconstruction with TRAM flap, medial 1.5cm and lateral 0.5cm of anterior rectus fascia remained in the donor site and postoperative hernia could be avoided. And in the case of reconstruction with LDMC flap, breast implant was inserted when the patient was lean and in young age, and it was not inserted when the patient was obese & old age. If thoracodorsal artery was injured, collateral vessels from serratus anterior was used.
The resuit of the reconstruction is very satisfactory with respect to symmetry, consistency of the reconstructed breast, scar and morbidity of the donor site. Above all, patients were satin f ied very much.
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