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Arch Plast Surg > Accepted Articles
DOI: https://doi.org/10.5999/aps.2017.01200    [Accepted]
Published online October 27, 2017.
The Usefulness of Pedicled Perforator Flap in Partial Breast Reconstruction after Breast Conserving Surgery in Korean Women
Jae Bong Kim1, Dong Kyu Kim1, Jeong Woo Lee1, Kang Young Choi1, Ho Yun Chung1, Byung Chae Cho1, Ho Yong Park2, Jee Yeon Lee2, Jung Dug Yang1
1Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea
2Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea
Correspondence:  Jung Dug Yang, Tel: 0532005685, Fax: 0534253879, 
Email: lambyang@knu.ac.kr
Received: 24 July 2017   • Revised: 5 October 2017   • Accepted: 10 October 2017
Abstract
Background
The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the use of TDAP (thoracodorsal artery perforator) and LICAP (lateral intercostal artery perforator) flaps.

Methods

This study included 33 patients who underwent breast reconstruction using TDAP or LICAP flaps at our hospital from January 2011 to December 2014. Data from patient medical records, and patient satisfaction surveys, which were conducted 12 months postoperatively, were retrospectively evaluated

Results

TDAP and LICAP flap-based reconstructions were performed in 14 and 19 patients, respectively. Five patients developed complications that required additional intervention. Overall patient satisfaction was observed to be excellent in 15 (46%) patients, and good in 12 (36%).

Conclusions

Based on our experience, oncoplastic breast surgery using TDAP or LICAP flap is an effective remodeling technique for small-to-moderate breast defects in Korean women with smaller breasts.
Keywords: Intercostal artery perforator flap; Oncoplastic breast surgery; Thoracodorsal artery perforator flap; Latissimus dorsi flap; Breast reconstruction


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