The Pedicle Tram Flap: A Focus on Improved Aesthetic Outcome

Fayman, Moshe S.; Potgieter, Estelle; Becker, Piet J.

doi:10.1007/s00266-005-0147-4

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…Body image and its assessment are the rising concerns of psychosocial oncology. Breast cancer management needs to manage traumatic stress in patients regarding their body image [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Aesthetic monitoring-based assessment of oncological safety of oncoplastic management of breast cancer: a multi-center research study

Awad

Tarabay

Qahtani³

et al. 2021

BMC Surg

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Background Oncoplastic Breast surgeries (OBS) in breast cancer have evolved to preserve the cancerous breast rather than its amputation to improve postoperative cosmetic results. The lack of evidence to support the oncological safety and benefits of OBS is questionable. In this study, we evaluate various aspects of oncoplastic surgeries with a focused monitoring of aesthetic results and oncological safety. Methods This was a multi-center observational study focused on the statistics of data collected from cases who underwent oncoplastic surgeries from the cohort of breast cancer candidates at Mansoura University Hospitals/Egypt and King Faisal Medical Complex/KSA from January 2015 to June 2018. All data were analyzed carefully using SPSS v-26. Results Eighty cases who underwent different oncoplastic surgeries were included and reviewed for the aesthetic outcome and oncological safety. The recurrence rate was found to be 2.5%. The breast impact treatment scale assessment method was used to analyze the aesthetic outcomes, and average scores were accepted in 90% of patients. Conclusions The oncoplastic breast surgeries are feasible and they had a high rate of oncological safety with the maintenance of good aesthetic outcomes and patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Aesthetic monitoring-based assessment of oncological safety of oncoplastic management of breast cancer: a multi-center research study

Awad

Tarabay

Qahtani³

et al. 2021

BMC Surg

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“…14 -16 To achieve this within the context of immediate and delayed reconstruction in a nonradiated breast, authors advise excision of the mastectomy scar with simple recreation of the mastectomy defect. 17 The overlying skin stretches to accommodate the transposed flap to recreate the breast. Others expand on this concept by excising or deepithelializing the mastectomy skin inferior to the mastectomy scar and tucking the transferred autologous flap within the skin superior to the mastectomy scar.…”

Section: Discussionmentioning

confidence: 99%

“…Tension-free transfer may require elevating the rectus to 1 cm superior to the costal margin, possibly releasing the medial-most fibers of the muscle. This approach was mentioned but not detailed by Fayman et al 17 Limiting the extent of the lateral dissection of the recipient bed is then addressed. Often, mastectomy scars extend lateral to the breast meridian.…”

Section: "B" Is For Breast Meridianmentioning

confidence: 99%

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Cone

Tavana

Ching

et al. 2012

Annals of Plastic Surgery

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The combination of radiation and mastectomy reduces the 3-dimensional topography of the breast into a relatively inelastic, 2-dimensional plane. This environment presents specific challenges to aesthetic breast reconstruction with autologous tissue transfer, and a relative sparsity of information exists in the surgical literature on how to address these challenges. Accordingly, this article details a formalized and reproducible approach for flap inset in postradiation breast reconstruction. We outline a novel technique for optimizing the recipient bed and present a sequential flow for contouring the autologous abdominal flap, so that it recreates the individual subunits of an aesthetic breast.

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“…However, the improvement of reconstructive tech niques does not develop as fast as the increasing demand from patients for better cosmetic outcomes. This renders the creation of a new breast with autologous flaps difficult and can lead to poor definition of the inframammary fold, inadequate axillary filling after draining of the lymph node, and asymmetric projection of the lower pole as compared to the contralateral breast 1,5,7,8 . The ipsilateral TRAM flap has the inherent advantage of providing increased pedicle length, because a shorter distance is required for flap transposition in the ipsilateral TRAM flap as compared to the contralateral TRAM flap.…”

Section: Discussionmentioning

confidence: 99%

Análise dos resultados estéticos na reconstrução mamária com TRAM ipsilateral vs. contralateral

Matos¹,

Dias²,

Pessoa³

et al. 2012

Rev. Bras. Cir. Plást.

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Matos JRF et al. Comparison of the aesthetic outcomes of breast reconstruction by using ipsilateral or contralateral TRAM flaps Análise dos resultados estéticos na reconstrução mamária com TRAM ipsilateral vs. contralateral ABSTRACT Background: Breast reconstruction by using the rectus abdominis muscle (transverse rectus abdominis myocutaneous, TRAM) flaps is a common procedure that has been per formed since the 1990s. Ipsilateral TRAM flaps were proven to be as safe as contralateral flaps for breast reconstruction. However, studies comparing the aesthetic outcomes of the two procedures are poorly described in the literature. The aim of this study was to com pare the cosmetic outcomes of ipsilateral and contralateral pedicled flaps. Methods: We prospectively evaluated 29 cases of immediate reconstruction with ipsilateral (group 1) or contralateral (group 2) TRAM flaps. The aesthetic outcomes were analyzed and the two groups were compared. Results: The average age of the patients was 43 ± 7 years. In group 1 (ipsilateral TRAM), 91.7% of the patients presented a well-defined inframammary fold, as compared to 52.9% of the patients in group 2 (contralateral TRAM). In group 1, 8.3% of patients showed xiphoid bulges, whereas they were observed in 23.5% of patients in group 2. The difference in the overall shape of the reconstructed breast was not significant; symmetry was observed in 66.7% and 70.6% of patients in groups 1 and 2, respectively. Conclusions: Ipsilateral TRAM flaps allow better preservation of the inframammary fold and cause less xiphoid bulge. However, the overall shape of the breast and the projection of its lower pole were similar between the two groups.

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The Pedicle Tram Flap: A Focus on Improved Aesthetic Outcome

Cited by 8 publications

References 20 publications

Aesthetic monitoring-based assessment of oncological safety of oncoplastic management of breast cancer: a multi-center research study

Aesthetic monitoring-based assessment of oncological safety of oncoplastic management of breast cancer: a multi-center research study

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Análise dos resultados estéticos na reconstrução mamária com TRAM ipsilateral vs. contralateral

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