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https://www.readbyqxmd.com/read/28514124/-partial-breast-reconstruction-by-modified-breast-reduction-techniques
#1
REVIEW
Dean D Ad-El, Sagit Meshulam Derazon, Eran Sharon, Asaf Olshinka
Partial resections of the breast are more than 50% of breast oncological surgery. The resulting defect can be substantial and cause meaningful deformity that leads to reduced body image satisfaction of the patients, affecting their ability to cope with the cancer. Parallel to the development of breast oncology techniques, an evolution of breast reconstruction techniques occurred. During the last decade, by using techniques from cosmetic breast surgery (such as breast reductions, augmentations and mastopexies), we can reconstruct extensive partial defects of the breasts at the immediate and delayed setting and achieve symmetrical aesthetic results...
July 2016: Harefuah
https://www.readbyqxmd.com/read/28510222/primary-ectopic-breast-cancer-of-the-vulva-treated-with-local-excision-of-the-vulva-and-sentinel-lymph-node-biopsy-a-case-report
#2
Takayuki Ishigaki, Yasuo Toriumi, Ryouko Nosaka, Rei Kudou, Yoshimi Imawari, Makiko Kamio, Hiroko Nogi, Hisashi Shioya, Hiroshi Takeyama
Primary breast cancer fairly infrequently occurs in ectopic breast tissue, and primary ectopic breast cancer of the vulva is particularly rare. Only 26 cases have been published in the English-language literature, and there has been no report of primary breast carcinoma of the vulva in Japan. We report a rare case of primary ectopic breast cancer of the vulva that was treated with local excision of the vulva and sentinel lymph node biopsy (SLNB). The patient was a 72-year-old woman who had noticed a right vulvar tumor 10 years earlier...
December 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/28505558/oncoplastic-techniques-attitudes-and-changing-practice-amongst-breast-and-plastic-surgeons-in-great-britain
#3
T Challoner, J Skillman, K Wallis, M Vourvachis, L Whisker, J Hardwicke
PURPOSE: The availability, acceptability and practice of oncoplastic surgery has increased over the last 5 years. This study aims to describe how the breast and plastic surgical workforce has adapted to provide oncoplastic breast surgery. METHODS: A questionnaire was distributed to members of the Association of Breast Surgery and BAPRAS, and results compared to a survey completed in 2010. RESULTS: In 2010, 228 respondents completed the survey compared to 237 in 2015, of whom 204 were consultants (105 General or Breast Surgeons and 99 Plastic Surgeons)...
May 12, 2017: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/28497024/decisional-pathways-in-breast-augmentation-how-to-improve-outcomes-through-accurate-pre-operative-planning
#4
REVIEW
Maurizio B Nava, Nicola Rocco, Gianfranco Tunesi, Giuseppe Catanuto, Alberto Rancati, Julio Dorr
Breast augmentation is the most commonly performed surgical procedure in aesthetic plastic surgery. Accurate pre-operative planning is crucial to obtain the best outcomes. We present our planning method deriving from a more than 30-year experience in aesthetic breast surgery, matching together patients tissues' characteristics and patients' wishes. We schematized our planning method in an easy-to-use flow diagram to help the decisional process in breast augmentation.
April 2017: Gland Surgery
https://www.readbyqxmd.com/read/28481705/breast-reconstruction-with-postmastectomy-radiation-choices-and-tradeoffs
#5
Matthew M Poppe, Jayant P Agarwal
The Oncology Grand Rounds series is designed to place original reports published in the Journal into clinical context. A case presentation is followed by a description of diagnostic and management challenges, a review of the relevant literature, and a summary of the authors' suggested management approaches. The goal of this series is to help readers better understand how to apply the results of key studies, including those published in Journal of Clinical Oncology, to patients seen in their own clinical practice...
May 8, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28481477/evaluation-of-the-effectiveness-of-the-prepectoral-breast-reconstruction-with-braxon-dermal-matrix-first-multicenter-european-report-on-100-cases
#6
Raghavan Vidya, Jaume Masià, Simon Cawthorn, Giorgio Berna, Fernando Bozza, Alexander Gardetto, Agnieszka Kołacińska, Francesco Dell'Antonia, Cesare Tiengo, Franco Bassetto, Glenda G Caputo, Maurizio Governa
We report the outcomes of the European prospective study on prepectoral breast reconstruction using preshaped acellular dermal matrix for complete breast implant coverage. Seventy-nine patients were enrolled between April 2014 and August 2015 all over Europe using a single protocol for patient selection and surgical procedure, according to the Association of Breast Surgery and British Association of Plastic Reconstructive and Aesthetic Surgeons joint guidelines for the use of acellular dermal matrix in breast surgery...
May 8, 2017: Breast Journal
https://www.readbyqxmd.com/read/28467614/autologous-breast-reconstruction-in-the-postbariatric-patient-population
#7
Andrew R Bauder, Fares Samra, Suhail K Kanchwala, Joseph M Serletti, Stephen J Kovach, Liza C Wu
BACKGROUND: Over 175,000 Americans underwent bariatric surgery in 2013 alone, resulting in rapid growth of the massive weight loss population. As obesity is a known risk factor for breast cancer, plastic surgeons are increasingly challenged to reconstruct the breasts of massive weight loss patients after oncologic resection. The goal of this study is to assess the outcomes of autologous breast reconstruction in postbariatric surgery patients at a single institution. METHODS: Patients who underwent autologous breast reconstruction between 2008 and 2014 were identified...
May 3, 2017: Microsurgery
https://www.readbyqxmd.com/read/28464217/oncoplastic-breast-surgery-achieving-oncological-and-aesthetic-outcomes
#8
Maaike W van Paridon, Parisa Kamali, Marek A Paul, Winona Wu, Ahmed M S Ibrahim, Kari J Kansal, Mary Jane Houlihan, Donald J Morris, Bernard T Lee, Samuel J Lin, Ranjna Sharma
BACKGROUND AND OBJECTIVES: Oncoplastic reconstruction allows more patients to become candidates for breast-conserving surgery (BCS). Oncologic resection of a breast lesion is combined with plastic surgical techniques to improve aesthetic results. Choosing the best oncoplastic method is essential to optimize outcomes, improve cosmesis, and minimize postoperative complications. The aim of this study is to present a treatment algorithm incorporating oncoplastic techniques based on diagnosis, tumor size, tumor location, and breast size and shape...
May 2, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28458972/follistatin-and-the-breast-implant-capsule
#9
Brett A Frenkiel, Peter Temple-Smith, David de Kretser, Graeme J Southwick
BACKGROUND: Breast capsular contracture remains an elusive problem faced by plastic surgeons and is the leading long-term complication after breast implantation. Follistatin (Fst) is a protein with known anti-inflammatory and antifibrotic properties and has the potential to limit the severity of diseases associated with inflammation and fibrosis such as capsular contracture. The aim of this study was to examine the effect of Fst288 on capsular fibrosis around silicone implants in a mouse model...
March 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28458968/the-aesthetic-items-scale-a-tool-for-the-evaluation-of-aesthetic-outcome-after-breast-reconstruction
#10
Rieky E G Dikmans, Lauren E H Nene, Mark-Bram Bouman, Henrica C W de Vet, Marc A M Mureau, Marlon E Buncamper, Hay A H Winters, Marco J P F Ritt, Margriet G Mullender
BACKGROUND: Valid tools to assess aesthetic outcomes after breast reconstructive surgery are scarce. Previously a professional aesthetic assessment scale was introduced, the Aesthetic Items Scale (AIS). We aim to determine if this method is a valid and reliable tool to assess aesthetic outcome after breast reconstructive surgery. METHODS: The study population was consenting women who underwent prophylactic mastectomy with subsequent implant-based breast reconstruction...
March 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28403022/the-sternum-nipple-distance-is-double-the-nipple-inframammary-fold-distance-in-macromastia
#11
Thomas N Steele, Julian J Pribaz, Frank H Lau
BACKGROUND: Reduction mammaplasty is one of the most commonly performed plastic surgery operations. For a majority of techniques, the most common long-term complication is pseudoptosis. It has previously been proposed that upper breast suspensory ligaments (SL) are weaker than lower breast SL. We tested this hypothesis through anthropometry of the proxies for upper and lower SL strength: the sternal notch-nipple (SN-N) distance and the nipple-inframammary fold (N-IMF) distance, respectively...
June 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28376233/a-call-for-fertility-preservation-coverage-for-breast-cancer-patients-the-cost-of-consistency
#12
Jessica R Walter, Shuai Xu, Teresa K Woodruff
In 1998, the passage of the Women's Health and Cancer Rights Act required insurance health plans nationwide covering breast cancer treatments to also reimburse for subsequent breast reconstructive surgery and prostheses. In response to low utilization of breast reconstructive services, particularly among racial minorities, plastic surgery interest groups successfully advocated for the passage of the Breast Cancer Patient Education Act, which provides a timely opportunity to reconsider patient accessibility to other equally important quality of life issues for cancer survivors...
May 1, 2017: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/28374302/reduction-mammaplasty-for-breast-symmetrisation-in-implant-based-reconstructions
#13
Fabrizio De Biasio, Nicola Zingaretti, Francesca De Lorenzi, Michele Riccio, Luca Vaienti, Pier Camillo Parodi
BACKGROUND: Healthy breast surgery constitutes an important step to achieve symmetry in unilateral implant-based reconstructions. We analysed long-term results of breast symmetry obtained with reduction mammaplasties, and we evaluated whether different glandular pedicles may better preserve long-term stability. METHOD: Between 2006 and 2012, 90 patients underwent mastectomy and immediate reconstruction with tissue expanders and simultaneous contralateral reduction mammaplasty...
April 3, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28333253/resident-and-program-director-perceptions-of-aesthetic-training-in-plastic-surgery-residency-an-update
#14
Ahmed M Hashem, Joshua T Waltzman, Gehaan F D'Souza, Cagri Cakmakoglu, Kayshap Komarraju Tadisina, Jeffrey M Kenkel, James E Zins
Background: This is the third survey exploring the quality of cosmetic training in plastic surgery residency. We focused on determining: (1) the applied modalities and extent of resident exposure; and (2) resident confidence in performing variable cosmetic procedures. Objectives: To analyze trends in resident exposure and confidence in aesthetic plastic surgery procedures from the standpoint of program directors (PDs) and residents. Methods: The survey was developed and e-mailed to 424 residents enrolled in the ASAPS Residents Program and 95 PDs...
March 3, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28292569/indocyanine-green-applications-in-plastic-surgery-a-review-of-the-literature
#15
Pierre Burnier, Jérémy Niddam, Romain Bosc, Barbara Hersant, Jean-Paul Meningaud
INTRODUCTION: Use of indocyanine green (ICG) near-infrared fluorescence as a dye to assess tissue vascularization is now well standardized. The aim of this literature review was to review and resume the most recent recommendations for ICG use in its plastic surgery applications. METHODS: A systematic literature review was performed using Medline, EMBASE, and PubMed databases to obtain the latest recommendations for ICG in plastic surgery. Inclusion criteria were all articles written in English language that evaluated pre-, intra-, or postoperative ICG applications in surgical procedures usually performed by plastic surgeons...
June 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28289827/correlation-of-prediction-and-actual-outcome-of-three-dimensional-simulation-in-breast-augmentation-using-a-cloud-based-program
#16
Joshua Vorstenbosch, Avi Islur
BACKGROUND: Breast augmentation is among the most frequently performed cosmetic plastic surgeries. Providing patients with "realistic" 3D simulations of breast augmentation outcomes is becoming increasingly common. Until recently, such programs were costly and required significant equipment, training, and office space. New simple user-friendly cloud-based programs have been developed, but to date there remains a paucity of objective evidence comparing these 3D simulations with the post-operative outcomes...
March 13, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28289618/long-term-follow-up-and-patient-satisfaction-after-reduction-mammoplasty-superomedial-versus-inferior-pedicle
#17
Mohamed Makboul, Mahmoud Abdelhamid, Ghada Al-Attar
BACKGROUND: Surgery for hypertrophied breast represents a challenge for plastic surgeons. The search for a good cosmetic breast has led to the development of many techniques. Objectives for reduction mammoplasty are to achieve elevated, symmetrical breasts, with round shape, good projection, small cicatrices that are not very perceptible, and a lasting result. METHODS: This study was carried out on 60 cases who had done reduction mammoplasty from January 2009 to December 2014...
January 2017: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28280676/the-telemark-breast-score-a-valid-method-for-evaluation-of-outcome-after-breast-surgery
#18
Anadi Begic, Birgit Stark
BACKGROUND: "Telemark Breast Score" (TBS) has been developed at Telemark Hospital in Norway for evaluation of results after breast surgery based on standardized patients' photographs taken as a part of daily routine. Its reliability has recently been tested and approved. The external validity of the TBS was assessed by matching its data against the internationally recognized Breast-Q (BQ) questionnaire as a further step to study the validity of this new tool. METHODS: The ideal distribution of breast volume is 45% of the total volume above and 55% below the nipple, and a 40° slope line at the upper pole...
February 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28280667/intradermal-infiltration-of-local-anesthetic-rapid-and-bloodless-deepithelialization-of-the-breast-pedicle
#19
Katelyn G Bennett, Robert H Gilman
Breast reduction is one of the most commonly performed plastic surgery procedures, and pedicle deepithelialization remains a time-consuming step of the operation. This is especially true when using an inferior pedicle. We present a novel technique of intradermal infiltration of the breast pedicle with local anesthetic to facilitate efficient, bloodless deepithelialization. The senior author uses a 20-ml syringe to inject 0.25% lidocaine and 1:400,000 epinephrine just beneath the epidermis of the breast pedicle to create a series of wheals...
February 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28272856/macromastia-and-gigantomastia-efficacy-of-the-superomedial-pedicle-pattern-for-breast-reduction-surgery
#20
V Chetty, E Ndobe
BACKGROUND: Reduction mammoplasty procedures in patients with macromastia and gigantomastia can prove a major challenge to the plastic surgeon. Although several techniques have been described to reduce very large breasts, they can often result in vascular compromise to the nipple-areola complex (NAC) and skin flaps, decrease in NAC sensation and inability to breast-feed. The superomedial pedicle (SMP) procedure is often used in patients with moderate to large breast reductions. For extremely large breast reductions, macromastia and gigantomastia breast amputation with a free nipple graft is often recommended...
November 2016: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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