Reverse Submammary Adipofascial Perforator Flap: Preliminary Results of a Dual-plane, Acellular Dermal Matrix–free, Direct-to-implant Hybrid Reconstruction
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Le résumé fourni par la source
Background: Single-stage direct-to-implant (DTI) reconstruction, particularly the prepectoral technique, has become prominent due to its reliable outcomes and shorter operative time. This approach spares the pectoralis major muscle, reducing postoperative pain and morbidity, and ensuring quicker recovery. However, limitations such as patient comorbidities and tumor characteristics can limit feasibility, leading to complications and high reconstructive failure rates. In such cases, switching to autologous or 2-stage approaches becomes necessary. This study introduced an innovative acellular dermal matrix-free dual-plane DTI hybrid reconstruction using a reverse submammary adipofascial perforator flap for small-volume breasts. Methods: A prospective noncontrolled cohort study was conducted from January to April 2024, enrolling 10 breast cancer patients eligible for DTI reconstruction. Data collected included preoperative clinical characteristics, intraoperative surgical data, and postoperative outcomes, including complications and patient satisfaction measured using BREAST-Q version 2.0. Breast aesthetics was also evaluated by 12 independent observers at minimum 3 months follow-up. Results: The surgical technique involved a dual-plane pocket with a reverse submammary adipofascial perforator flap, harvested from the inframammary fold, anchored to the pectoralis major muscle for inferolateral pole coverage of the breast implant. Results showed 1 major complication requiring surgical revision and 1 minor skin flap necrosis managed conservatively. All patients reported good satisfaction with their reconstruction results, supported by positive aesthetic evaluations from observers. Conclusions: This acellular dermal matrix-free, dual-plane DTI hybrid technique seems safe and effective for small-volume breasts. It offers a viable alternative for selected cases, warranting further investigation with larger cohorts and longer follow-ups.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Reverse Submammary Adipofascial Perforator Flap: Preliminary Results of a Dual-plane, Acellular Dermal Matrix–free, Direct-to-implant Hybrid Reconstruction
- Date Crossref
- 01/06/2025
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Policlinico Umberto I pays non établi dans la noticeÉtablissement de santé
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Sapienza University of Rome pays non établi dans la noticeUniversité ou école supérieure
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Magna Graecia University pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedaliera Universitaria Senese pays non établi dans la noticeÉtablissement de santé
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Ospedale Santa Maria Goretti pays non établi dans la noticeÉtablissement de santé
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"Sapienza" University of Rome Department of Surgery “P. Valdoni pays non établi dans la noticeUniversité ou école supérieure
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“Magna Graecia” University of Catanzaro Department of Experimental and Clinical Medicine pays non établi dans la noticeUniversité ou école supérieure
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"Magna Graecia" University of Catanzaro Department of Experimental and Clinical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Department of Breast Cancer Surgery pays non établi dans la noticeInstitution
Policlinico Umberto I, Sapienza University of Rome et Magna Graecia University, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.