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Reconstruction of Unexpected Huge Chest Wall Defect after Recurrent Breast Cancer Excision Using a TRAM Flap Combined with Partial Latissimus Dorsi Muscle Flap

Jung, Jae A ; Kim, Yang Woo ; Kang, So Ra

Archives of Plastic Surgery, 2013, Vol.40(1), p.76-79 [Periódico revisado por pares]

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  • Título:
    Reconstruction of Unexpected Huge Chest Wall Defect after Recurrent Breast Cancer Excision Using a TRAM Flap Combined with Partial Latissimus Dorsi Muscle Flap
  • Autor: Jung, Jae A ; Kim, Yang Woo ; Kang, So Ra
  • Assuntos: Images
  • É parte de: Archives of Plastic Surgery, 2013, Vol.40(1), p.76-79
  • Descrição: The incidence of breast cancer is gradually increasing and immediate breast reconstruction after mastectomy is now widely conducted. In advanced breast cancer, postoperative adjuvant chemotherapy and radiotherapy rates are also increasing. In these patients, plastic surgeons are presented with the substantial challenge to cover an extensive skin and soft tissue defect after mastectomy with autologous tissue. The transverse rectus abdominis musculocutaneous (TRAM) flap, which was introduced by Hartrampf et al. [1] in 1982, is the most commonly used autologous tissue flap used for breast reconstruction. Its advantages include flexibility for breast shaping, the provision of a natural consistency and feel to the reconstructed breasts, and the avoidance of the potential complications associated with breast implant use. However, TRAM flaps may not provide sufficient volume in all patients. In particular, insufficient abdominal bulk limits the amount of tissue available, and thus, additional soft-tissue augmentation and contouring may be necessary to produce adequate volume, contour, and symmetry.

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