Journal article
Use of Thoracodorsal Artery Perforator Flaps to Enhance Outcomes in Alloplastic Breast Reconstruction
Plastic and reconstructive surgery. Global open, Vol.2(5), pp.e140-e140
05/2014
DOI: 10.1097/GOX.0000000000000085
PMCID: PMC4174069
PMID: 25289333
Abstract
Background: Use of the thoracodorsal artery perforator (TDAP) flap in combination with alloplastic devices has been proven to be a safe method of breast reconstruction. However, preoperative irradiation increases the complication rate and thus some consider preoperative radiotherapy a relative contraindication to alloplastic alone reconstruction. We evaluated the longterm outcomes of patients with preoperative radiotherapy who had delayed alloplastic reconstruction with a TDAP flap.
Methods: A retrospective analysis of a prospectively maintained database was performed to identify patients who had received a Latissimus Dorsi (LD), a Muscle Sparing Latissimus Dorsi (MSLD), or a TDAP flap plus a tissue expander or implant between 2005 and 2012. Information regarding patients' primary diagnosis, radiation history, prior breast reconstructions, and complications was collected and analyzed.
Results: Sixteen patients who had a total of 16 breast reconstructions with an LD (6) or TDAP/MSLD1 flap (10). Demographic data, device type, co-morbidities and complications were analyzed. The rate of capsular contracture and size asymmetry were higher in the LD group, but there was no difference noted for major complications. Minor complications were also similar between the 2 groups.
Conclusions: Patients who underwent irradiation before TDAP flap did not have a higher complication rate when compared with patients who had a full LD flap following radiation. By integrating well-vascularized, nonradiated tissue of a TDAP flap in reconstruction, overall complication rate may be minimized and the results are comparable to the generally accepted method of utilizing the entire latissimus dorsi muscle.
Details
- Title: Subtitle
- Use of Thoracodorsal Artery Perforator Flaps to Enhance Outcomes in Alloplastic Breast Reconstruction
- Creators
- Jonathan Bank - University of Chicago Medical CenterKelly Ledbetter - University of Chicago Medical CenterDavid H. Song - University of Chicago Medical Center
- Resource Type
- Journal article
- Publication Details
- Plastic and reconstructive surgery. Global open, Vol.2(5), pp.e140-e140
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/GOX.0000000000000085
- PMID
- 25289333
- PMCID
- PMC4174069
- ISSN
- 2169-7574
- eISSN
- 2169-7574
- Number of pages
- 6
- Grant note
- UL1TR000430 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) UL1 TR000430 / NCATS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 05/2014
- Academic Unit
- Surgery
- Record Identifier
- 9984701552902771
Metrics
7 Record Views