Batwing versus Wise pattern mammoplasty for upper pole breast tumours: a detailed comparison of cosmetic outcome

Hashem, Tarek; Farahat, Ahmed

doi:10.1186/s12957-017-1124-5

Cited by 9 publications

(10 citation statements)

References 10 publications

(10 reference statements)

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“…It assesses breast asymmetry, skin colour difference and scar visibility (13). The software has previously been applied to evaluate outcomes following standard wide local excision (WLE) (10,14), and very recently following TM for upper pole breast tumours (15). However, until now it has not been used to assess tumours in all locations within the breast.…”

Section: Introductionmentioning

confidence: 99%

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

et al. 2019

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Background: Therapeutic mammaplasty (TM) is a standard oncoplastic technique utilising aesthetic breast reduction principles to facilitate tumour resection and breast reshaping. Simultaneous contralateral mammaplasties are often performed to maintain symmetry. BCCT.core software, which principally assesses breast symmetry, has been previously employed for evaluating cosmetic results after standard breast conservation therapy and latterly TMs for upper pole tumours. The purpose of this study was to validate this novel tool for TMs in all breast zones.Methods: Standardised photographs of 20 consecutive patients who underwent TM were evaluated for symmetry using BCCT.core versus a plastic surgical panel completing a visual analogue scale. Results were rated as (excellent/good/fair/poor). Outcomes between the two methods were compared.Results: Twenty patients aged 37 to 63 years with a median 36G bra size had 22 TMs (18 unilateral, 2 bilateral). Indications were invasive breast cancer (87%) and ductal carcinoma in situ (DCIS) (13%). The median (range) tumour size was 22.5 mm (6-90 mm) with a resection weight of 245.8 g (16-1,079 g).Primary nipple pedicles were superomedial (63%), inferior (21%) and superolateral (16%). Five patients required a secondary glandular pedicle for volume redistribution to maintain breast shape. The BCCT.core software vs. panel symmetry assessments were 37% vs. 39% (excellent), 63% vs. 50% (good) and 0% vs. 11% (fair). Wilcoxon matched-pairs sign rank tests and Spearman rank correlations found the pairings to be statistically significant (P<0.05).Conclusions: Despite small patient numbers, BCCT.core gave comparable findings with the panel and is thus useful for objectively assessing cosmesis of TMs in all breast zones.

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Section: Introductionmentioning

confidence: 99%

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

et al. 2019

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“…Batwing mammoplasty has good patient satisfaction with low complications compared to Wise pattern mammoplasty. 9 Though the first case might have benefited from Wise pattern mammoplasty, we sticked to Batwing due to younger age of the patient (less tissue damage)and comparable cosmetic outcome with lower complications. 9 As it involves an incision that centers around nipple-areolar complex (NAC), in asymmetric large areola, excess areolar skin can be de-epithelialized as in the first case for better cosmesis.…”

Section: Discussionmentioning

confidence: 99%

“…9 Though the first case might have benefited from Wise pattern mammoplasty, we sticked to Batwing due to younger age of the patient (less tissue damage)and comparable cosmetic outcome with lower complications. 9 As it involves an incision that centers around nipple-areolar complex (NAC), in asymmetric large areola, excess areolar skin can be de-epithelialized as in the first case for better cosmesis. Though other oncoplastic techniques are used in management of benign breast lesions in literature, 10,11 there is only a case report on use of Batwing in management of giant fibroadenoma 12 which has reported good cosmetic outcome.…”

Section: Discussionmentioning

confidence: 99%

Batwing Technique in Large Volume Excision of Breast Lesions: Case Report

Khanal

Singh

Sharma

2019

Journal of Institute of Medicine

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Oncoplastic surgical techniques are seeing widespread use for excision of large volume breast lesions. Batwing technique is one of the volume displacement techniques that can be used to manage lesions in central quadrant of the breast. Such techniques are still underused in Nepal. Here we present three cases with large volume benign breast lesions managed with simple, easy-to-learn technique of Batwing oncoplasty.

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“…Evaluation of scar visibility and color match occurs in a similar fashion. The program gives an overall result after automatically calculating all parameters for each criterion [ 9 , 10 ].…”

Section: Methodsmentioning

confidence: 99%

Thoracodorsal artery perforator flap as an autologous alternative to acellular dermal matrix

Hashem

Farahat

2017

World J Surg Onc

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BackgroundThoracodorsal artery perforator (TDAP) flap is one of the relatively new techniques in breast reconstruction. This pedicled flap retains the benefits of perforator flaps as regards minimal donor site morbidity without the need for microvascular anastomosis. Its role in partial breast reconstruction has been well documented. However, there are few reports about the role of this flap in total breast reconstruction.MethodsThis study included 47 cases who presented to the breast unit of the National Cancer Institute of Cairo University from 2013 to 2015. All patients underwent nipple-sparing mastectomy with immediate implant-based reconstruction. The TDAP flap was used to complete the subpectoral pocket for the implants in a way similar to the acellular dermal matrix.ResultsOverall complication rate was 14.9%. Capsular contracture occurred in 6.4%.There were no donor site complications. The majority of patients were satisfied with their cosmetic results. Sixty-eight percent rated their result as “excellent” or “good.”ConclusionThoracodorsal artery perforator flap can play a significant role in total breast reconstruction. In settings with limited resources, this flap can serve as an available autologous alternative to acellular dermal matrix.

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Batwing versus Wise pattern mammoplasty for upper pole breast tumours: a detailed comparison of cosmetic outcome

Cited by 9 publications

References 10 publications

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

Assessment of breast symmetry in breast cancer patients undergoing therapeutic mammaplasty using the Breast Cancer Conservation Therapy cosmetic results software (BCCT.core)

Batwing Technique in Large Volume Excision of Breast Lesions: Case Report

Thoracodorsal artery perforator flap as an autologous alternative to acellular dermal matrix

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