Naslov
The “dermal cage”: Inferiorly based dermal flap technique for breast reconstruction after mastectomy

Autori
Vlajčić, Zlatko ; Martić, Krešimir ; Budi, Srećko ; Roje, Željka ; Dewing, Daemon ; Žic, Rado

Izvornik
Journal of plastic, reconstructive & aesthetic surgery (1748-6815) 73 (2020), 3; 486-493

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
inferior dermal flap ; breast reconstruction ; Acellular Dermal Matrix (ADM)

Sažetak
Summary: “Direct to implant”, “one stage” or “immediate” breast reconstruction procedures have became extremely popular in last decade. The additional task of covering the lower pole of the prosthetic implant for stability can be achieved by one of two principle methods. One is the use of ADM (acellular dermal matrix) or alternatively by the use of autologous dermis (inferiorly based dermal flap). In 2013 we published a modification of the inferior pedicle technique for reduction mammaplasty with the principle goal of making a strong, durable and internalized "dermal cage" fixed to the chest wall to support the remaining breast tissue and to prevent long-term descent of the breast tissue through the effects of gravity. At that time we started to use the same technique in breast reconstruction for selected cases who required skin or nipple sparing mastectomy with reduction of the skin envelope, not just to cover the lateroinferior pole of breast implants as an alternative to acellular dermal matrix, but primarily for functional support and suspension with fixation of the implant on the chest wall, shaping the reconstructed breast with the aim of preventing lateral displacement. In this article we present the method and rationale of our “dermal cage” technique explaining differences between previously published modifications by other authors of the inferior dermal pedicle.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA