2 Cases of Postburn Breast Reconstruction using A Extended Latissimus Dorsi Myocutaneous Flap.

Bae, Tae Hui; Kim, Han Koo; Kim, Woo Seob

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(1):83-86.
Published online January 1, 2010.

2 Cases of Postburn Breast Reconstruction using A Extended Latissimus Dorsi Myocutaneous Flap.

Tae Hui Bae, Han Koo Kim, Woo Seob Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Chung-Ang University, Seoul, Korea. hkkiim@cau.ac.kr

Abstract

PURPOSE
Authors present the case of 2 patients who underwent extended Latissimus dorsi myocutaneous flap to reconstruct postburn breast deformity. METHODS: A 39-year-old woman and 18-year-old woman with postburn breast deformity visited for reconstruction. The nipples were preserved but normal breast development did not occur due to scar contracture. Burn scar contracture was released by excision of the restricting burn scar and breast mound was reconstructed with extended Latissimus dorsi myocutaneous flap. Additional contracture release with multiple z-plasty was performed at the axillae and medial portion of breast.
RESULTS
Postburn breast reconstruction using Latissimus dorsi myocutaneous flap showed natural shaped breast mound and inframammary fold. There was no significant complication in both cases.
CONCLUSION
Latissimus dorsi myocutaneous flap provide sufficient skin and soft tissue and it could be an effective method for reconstruction of postburn breast deformity.

Keywords: Burn; Breast; Flap