Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Breast Reconstruction by Pectoralis Major Muscle Transfer with Implants after Skin Sparing Partial Mastectomy

피부보존 유방절제술 후 대흉근전위술과 유방삽입물을 이용한 유방재건술

  • Park, Jung Min (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kwon, Yong Seok (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Keun Cheol (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kim, Seok Kwun (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Jin Hwa (Department of Diagnostic Radiology, College of Medicine, Dong-A University) ;
  • Jho, Sae Heon (Department of General Surgery, Breast Center College of Medicine, Dong-A University)
  • 박정민 (동아대학교 의과대학 성형외과학교실) ;
  • 권용석 (동아대학교 의과대학 성형외과학교실) ;
  • 이근철 (동아대학교 의과대학 성형외과학교실) ;
  • 김석권 (동아대학교 의과대학 성형외과학교실) ;
  • 이진화 (동아대학교 의과대학 진단방사선학과교실) ;
  • 조세헌 (동아대학교 의과대학 일반외과학교실)
  • Received : 2005.06.02
  • Published : 2005.09.10
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Abstract

Breast cancer is the second leading cause of death in woman. Unfortunately, the frequency of breast cancer and mastectomy are increasing in Korea. This paper introduces the breast reconstruction by use of pectoralis major muscle transfer with breast implant for small size defect after skin sparing mastectomy for more satisfaction. We reviewed 24 consecutive patients who underwent breast reconstruction by pectoralis major muscle transfer with implant and only breast implant in Dong-A University from April 2002 to March 2004. The patient's age ranged between 29 and 54 years with mean of 42.3 years. We used pectorals major muscle transfer with breast implant in 12 patients and breast implant alone in 12 patients as control. The follow-up period of patients ranged from 10 months to 3 years with mean of 18.5 months. The points of comparison with control group reconstructed by breast implant alone were doctor and patient satisfaction score, operation time, duration of admission, amount of drainage, complication and satisfaction according to mass location. In conclusion, there is no difference with control group in the point of operation time, mount of drainage, duration of admission. And there is higher level of doctor's and patient's satisfaction in group reconstructed by pectoralis major muscle transfer with breast implant than implant only group. Especially, pectoralis major muscle transfer with breast implant was especially necessary for the defect in upper lateral quadrant of the breast to get more satisfaction. The advantage of pectoralis major muscle transfer with breast implant is prevention of the protruding and palpability of implant and aesthetically satisfactory result by intraoperative modification of breast shape.

Keywords

References

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