EVALUATION OF A TRIANGULAR ADVANCEMENT FLAP TO AVOID DOG EAR IN MASTECTOMY SCARS AMONG OBESE BREAST CANCER PATIENTS

Document Type : Preliminary preprint short reports of original research

Authors

1 Surgery Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt

2 Department of Surgery, Faculty of Medicine, Alexandria University

3 Department of Surgery, Medical Research Institute, Alexandria University

Abstract

Breast cancer is considered the world’s most commonly diagnosed cancerand it is by far the world’s most common cancer among women particularly.
Surgical treatment options are based on the staging of the tumor and include breast conserving surgery and various types of mastectomy. Modified radical mastectomy was the basic procedure for breast cancer surgical management. Mastectomy is done through a transverse elliptical incision and it has a wide lateral angle and unequal lengths between the upper and lower flaps. During wound closure we may experience upward and outward protrusion of the tissue at both angles; this is what we call the “dog-ear.”There are various techniques to avoid the dog-ear deformity such as; “Fish-shaped” incision or Y closure, the tear drop incision, liposuction, the ‘L’ technique, modified M-plasty technique and the triangular advancement flap which is the technique we are describing here.

AIM OF THE WORK:
The aim of the study was to evaluate the use of triangular advancement flap technique to avoid dog ear deformity in the lateral end of mastectomy wounds in large breasted obese women regarding:
• Avoidance of dog ear deformity.
• Cosmetic result.
• Patient satisfaction.
• Length of the wound.
• Pain and/or discomfort.
• Surgical time consumed.

Keywords

ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 80-81

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