Breast burns are not benign: Long-term outcomes of burns to the breast in pre-pubertal girls

Foley, Peter; Jeeves, Amy; Davey, R. B.; Sparnon, Anthony L.

doi:10.1016/j.burns.2007.05.001

Cited by 24 publications

(20 citation statements)

References 15 publications

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“…Decreased milk ejection can occur if the nipple undergoes reconstruction by itself. 15,16 Correction of the malformed nipple by using simple maneuvers such as protracting the flat nipple manually or using a syringe-pump to protract the nipple, along with proper positioning of the baby and confidence building, can help the mother to successfully breastfeed, as happened in our case.…”

Section: Discussionmentioning

confidence: 83%

Successful Breastfeeding With Breast Malformations

Faridi

Dewan

2008

J Hum Lact

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Congenital and acquired malformations of the breast can present with difficulty in breastfeeding. The authors report on 3 mothers of Indian origin who successfully breastfed their babies after appropriate counseling despite having different breast malformations. One of the mothers had bilateral ectopic axillary breasts but was able to breastfeed after expressing them. The other 2 mothers had burns scars over the chest and breasts, with a flat nipple in 1 of them, and a psychological barrier was seen in both of them. Both mothers were able to successfully breastfeed after counseling and some practical help.

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Section: Discussionmentioning

confidence: 83%

Successful Breastfeeding With Breast Malformations

Faridi

Dewan

2008

J Hum Lact

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“…However, this study, was only concerned with contracture and deformity of the tissue affecting the breasts and not with contracture of the joints or whole of the trunk/torso. 54 Neck Contracture. Neck contracture was addressed in eight studies (13%) reviewed.…”

Section: Burn Literature Review Resultsmentioning

confidence: 99%

Methods and Tools Used for the Measurement of Burn Scar Contracture

Parry¹,

Walker²,

Niszczak³

et al. 2010

Journal of Burn Care & Research

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After burn injury, scar contracture can cause significant impairment and functional deficit. Many studies have investigated the treatment and prevention of burn scar contracture, but few studies have focused on the methods for measuring contracture. The purpose of this study was to determine whether consistent and objective methods of measurement are used to quantify scar contracture in the clinical evaluation of burn patients and in burn research. A survey was administered to 407 burn therapists to determine the methods and tools used clinically to measure scar contracture, while a review of recent burn literature was conducted to determine the methods and tools used in burn research. The results of the survey indicate that there is a lack of consensus in the methods and tools used for the measurement of scar contracture, both clinically and in research. Instead, a variety of measurement methods was reported, each with varying degrees of objectivity. Clinically, the methods are rarely checked for reliability or performance competency. In burn research, the methods and tools vary, and contracture data obtained are often reported in an inconsistent manner. If the measurement of scar contracture is not done objectively and consistently, then it is difficult to determine reliability, validity, and responsiveness of the measurement methods. Development of standard protocols with reliable measures of scar contracture would improve the quality of burn care and research.

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“…15 Additionally, the aesthetic quality of grafting remained inferior to more natural supple coverage as well as match afforded by flap coverage in general. 16 Although this is the most frequent scenario met by plastic surgeons, 3 in some patients with severe burns (particularly flame burns), the growing breast tissues might be affected or severely damaged either by the burn itself or during surgical excision of eschars. 14 In those patients, just release and skin grafting would not be enough; a reconstructive procedure to add more supple skin and subcutaneous tissue should be anticipated.…”

Section: Discussionmentioning

confidence: 99%

Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity

Hussein

Abdelkader

Elhenawy

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Full-thickness burns of the anterior chest wall during childhood are a devastating problem that results in significant distortion of the developing breast. This deformed burnt breast represents a serious aesthetic problem, and can lead to functional impairment as well as severe emotional trauma for patients. Methods: Patients with postburn scarring affecting the lower pole of the breast were included. Only patients with small to medium-sized breasts were targeted. The lower breast pole was reconstructed using muscle-sparing latissimus dorsi flap. All patients had been subjectively assessed, including overall patient satisfaction regarding breast aesthetics, donor site morbidity, and functional deficits of latissimus dorsi muscle, 3 months postoperatively. Results: Six patients (seven breasts) were included in this study. Muscle-sparing latissimus dorsi flap was used to reconstruct lower breast pole in all patients. A horizontally-oriented skin paddle was used in five patients, whereas a vertically oriented skin paddle was used in one patient. Average patient satisfaction was 9.1 (SD 0.6) for the reconstructed lower breast pole. For the donor site, average overall satisfaction was 9.1 (SD 0.8). Latissimus dorsi muscle function was objectively confirmed in 90% of cases after 3 months postoperatively. Patients had an average score of 3.9 (SD 0.4) for the activity score as well. Conclusions: The muscle-sparing latissimus dorsi flap is a good reconstructive tool for lower breast pole in postburn breast reconstruction. It has a reliable versatile skin paddle that can resurface the whole lower breast pole, while avoiding many of the latissimus flap morbidities.

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Breast burns are not benign: Long-term outcomes of burns to the breast in pre-pubertal girls

Cited by 24 publications

References 15 publications

Successful Breastfeeding With Breast Malformations

Successful Breastfeeding With Breast Malformations

Methods and Tools Used for the Measurement of Burn Scar Contracture

Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity

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