A new level 1 oncoplastic technique for breast conserving surgery: rotation glandular flap

E J D Massey; P F Gouveia; C Nos; B Poulet; I Sarfati; K B Clough

doi:10.1016/j.breast.2013.01.012

A new level 1 oncoplastic technique for breast conserving surgery: rotation glandular flap

Breast. 2013 Apr;22(2):186-189. doi: 10.1016/j.breast.2013.01.012. Epub 2013 Mar 7.

Authors

E J D Massey¹, P F Gouveia¹, C Nos¹, B Poulet¹, I Sarfati¹, K B Clough²

Affiliations

¹ Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France.
² Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France. Electronic address: [email protected].

PMID: 23465715
DOI: 10.1016/j.breast.2013.01.012

Abstract

Background: When performing conservative surgery for breast cancer, breast reshaping can be a challenging procedure. Level 1 oncoplastic surgery (OPS) techniques, i.e., advancement or rotation of glandular flaps, should be performed when less than 20 per cent breast volume is excised.

Objective: A new Level 1 OPS technique is described. A wide centro-lateral glandular flap is created after extensive undermining of the skin and nipple-areolar complex, and rotated into the cavity.

Discussion: This rotation glandular flap is a new technique for use following a wide excision, in glandular, not fatty, breasts, and when standard closure of the cavity would not leave a satisfactory cosmetic result.

MeSH terms

Breast Neoplasms / surgery
Female
Humans
Mastectomy, Segmental / methods*
Surgical Flaps*
Suture Techniques