Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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A rare approach? Microsurgical breast reconstruction after severe burns

  • Weitgasser, Laurenz (Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart) ;
  • Bahsoun, Ali (Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart) ;
  • Amr, Amro (Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart) ;
  • Brandstetter, Michael (Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart) ;
  • Knam, Friedrich (Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart) ;
  • Schoeller, Thomas (Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart)
  • Received : 2017.06.15
  • Accepted : 2017.08.16
  • Published : 2018.03.15
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Abstract

Breast deformity, in post-burn patients, is a common problem leading to lower self-esteem and reclusive behavior that impairs quality of life. The authors present the course of treatment of an 18-year-old immigrant girl who suffered second- to third-degree burns over approximately 20% of her total body surface area in her early childhood. The second- to third-degree burns were located on her right trunk and abdomen, as well as her right shoulder, neck, and right groin area. Since it was not offered in her home country, reconstructive surgery, including microsurgical breast reconstruction, was sought abroad. Due to the lack of available skin and soft tissue, a bilateral breast reconstruction with free transverse myocutaneous gracilis flaps was offered. This case illustrates one method of using microsurgery to address post-burn breast deformities in order to alleviate psychological suffering and improve quality of life.

Keywords

References

  1. Neale HW, Smith GL, Gregory RO, et al. Breast reconstruction in the burned adolescent female (an 11-year, 157 patient experience). Plast Reconstr Surg 1982;70:718-24. https://doi.org/10.1097/00006534-198212000-00011
  2. Robert RS, Blakeney PE, Meyer WJ 3rd. Impact of disfiguring burn scars on adolescent sexual development. J Burn Care Rehabil 1998;19:430-5. https://doi.org/10.1097/00004630-199809000-00013
  3. Ogilvie MP, Panthaki ZJ. Burns of the developing breast. J Craniofac Surg 2008;19:1030-3. https://doi.org/10.1097/SCS.0b013e318175f3ba
  4. MacLennan SE, Wells MD, Neale HW. Reconstruction of the burned breast. Clin Plast Surg 2000;27:113-9.
  5. Tsoutsos D, Stratigos A, Gravvanis A, et al. Burned breast reconstruction by expanded artificial dermal substitute. J Burn Care Res 2007;28:530-2. https://doi.org/10.1097/BCR.0B013E318053DAC5
  6. Guan WX, Jin YT, Cao HP. Reconstruction of postburn female breast deformity. Ann Plast Surg 1988;21:65-9. https://doi.org/10.1097/00000637-198807000-00013
  7. Ozgur F, Gokalan I, Mavili E, et al. Reconstruction of postburn breast deformities. Burns 1992;18:504-9. https://doi.org/10.1016/0305-4179(92)90186-X
  8. Slator RC, Wilson GR, Sharpe DT. Postburn breast reconstruction: tissue expansion prior to contracture release. Plast Reconstr Surg 1992;90:668-71. https://doi.org/10.1097/00006534-199210000-00019
  9. Bayram Y, Sahin C, Sever C, et al. Custom-made approach to a patient with post-burn breast deformity. Indian J Plast Surg 2014;47:127-31. https://doi.org/10.4103/0970-0358.129646
  10. Iwuagwu FC, Wilson D, Bailie F. The use of skin grafts in postburn contracture release: a 10-year review. Plast Reconstr Surg 1999;103:1198-204. https://doi.org/10.1097/00006534-199904010-00015
  11. Shen TY, Sun YH, Cao DX, et al. The use of free flaps in burn patients: experiences with 70 flaps in 65 patients. Plast Reconstr Surg 1988;81:352-7. https://doi.org/10.1097/00006534-198803000-00006
  12. De Lorenzi F, van der Hulst R, Boeckx W. Free flaps in burn reconstruction. Burns 2001;27:603-12. https://doi.org/10.1016/S0305-4179(01)00006-7
  13. Grishkevich VM. Restoration of the shape, location and skin of the severe burn-damaged breast. Burns 2009;35:1026-35. https://doi.org/10.1016/j.burns.2008.12.008
  14. Haik J, Grabov-Nardini G, Goldan O, et al. Expanded reverse abdominoplasty for reconstruction of burns in the epigastric region and the inframammary fold in female patients. J Burn Care Res 2007;28:849-53. https://doi.org/10.1097/BCR.0b013e3181599b69

Cited by

  1. Reconstruction of Severe Burns to the Breast in Pediatric Patients: A 10-Year Experience vol.41, pp.3, 2020, https://doi.org/10.1093/jbcr/irz196
  2. Total aesthetic reconstruction of postburn bilateral breast loss using transverse myocutaneous gracilis free flaps: A case report and literature review vol.40, pp.6, 2018, https://doi.org/10.1002/micr.30633