Application of contralateral mastoplasty in breast reconstruction after breast cancer surgery_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIAN Chenxing ¹ , LIN Lisheng ² ,  WU Limin ^1,2 , LI Hang ² , ZHENG Zifang ¹ , SONG Yucheng ¹ , LIU Wei ¹

1. Department of Minimally Invasive Surgery, Affiliated Hospital of Putian University, Putian Fujian, 351100, P.R.China;
2. Department of Breast Surgery, Affiliated Hospital of Putian University, Putian Fujian, 351100, P.R.China;

Corresponding?author：

WU Limin, Email: ptxywlm@126.com

Keywords：

Breast cancer; breast reconstruction; symmetry; plasty

DOI：

10.7507/1002-1892.201810112

Video：

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Objective To introduce a contralateral mastoplasty in breast reconstruction with prosthesis after breast cancer surgery in order to gain bilateral breasts symmetry.Methods Between January 2016 and June 2018, 11 female patients with breast cancer were treated, aged 34-64 years old (mean, 49.6 years). There were 5 cases in left side and 6 cases in right side. There were 3 cases of invasive carcinoma and 8 cases of intraductal carcinoma. The diameter of tumor was 0.2-4.1 cm (mean, 2.5 cm). The disease duration ranged from 1 to 15 months (mean, 6 months). According to Regnault grading criteria, there were 7 cases of mild breast ptosis and 4 cases of moderate breast ptosis. Simple nipple-sparing mastectomy and reconstruction using prosthesis of the affected side, and folding and lifting of the nipple-areolar complex of the healthy side were performed.Results The operation time was 144-188 minutes (mean, 158 minutes). The hospital stay was 6-9 days (mean, 7.5 days). Postoperatively, poor incision healing occurred in 1 case and healed after symptomatic treatment. The other incisions healed well and no surgical-related complications occurred. All patients were followed up 6-30 months (mean, 16 months). At 3 months after operation, the expert group adopted the self-made rating scale to evaluate the bilateral breasts symmetry, and the score was 8-10 (mean, 8.9). The patients were evaluated for their satisfaction according to the self-made score scale, and the score was 8-10 (mean, 9.1).Conclusion After immediate breat reconstruction with prosthesis after breast cancer surgery, the satisfied bilateral breasts appearances and symmetry can be obtained by contralateral mastoplasty.

Citation： JIAN Chenxing, LIN Lisheng, WU Limin, LI Hang, ZHENG Zifang, SONG Yucheng, LIU Wei. Application of contralateral mastoplasty in breast reconstruction after breast cancer surgery. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(3): 337-340. doi: 10.7507/1002-1892.201810112 Copy

1.	Pinell-White XA, Duggal C, Metcalfe D, et al. Patient-reported quality of life breast reconstruction: A one-year longitudinal study using the WHO-QOL survey. Ann Plast Surg, 2015, 75(2): 144-148.
2.	Neto MS, de Aguiar Menezes MV, et al. Sexuality after breast reconstruction post mastectomy. Aesthetic Plast Surg, 2013, 37(3): 643-647.
3.	Roh DS, Treiser MD, Lafleur EH, et al. Technique to promote symmetry in 2-staged bilateral breast reconstruction in the setting of unilateral postmastectomy radiation. Ann Plast Surg, 2017, 78(4): 386-391.
4.	De Biasio F, Zingaretti N, De Lorenzi F, et al. Reduction mammaplasty for breast symmetrisation in implant-based reconstructions. Aesthetic Plast Surg, 2017, 41(4): 773-781.
5.	Huang JJ, Wu CW, Leon Lam W, et al. Simultaneous contralateral breast reduction/mastopexy with unilateral breast reconstruction using free abdominal flaps. Ann Plast Surg, 2011, 67(4): 336-342.
6.	Laporta R, Longo B, Sorotos M, et al. One-stage DIEP flapbreast reconstruction: Algorithm for immediate contralateral symmetrization. Microsurgery, 2015, 36(1): 7-19.
7.	Stevenson TR, Goldstein JA. TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg, 1993, 92(2): 228-233.
8.	劉立剛, 武勇進, 王亮, 等. 保留乳房皮膚的乳腺切除與即刻乳房再造. 中國修復重建外科雜志, 2004, 18(6): 471-474.
9.	柴麗君, 張學慧. 前鋸肌肌瓣在乳腺癌改良根治術后即刻乳房再造中的應用. 中國修復重建外科雜志, 2017, 31(9): 1098-1101.
10.	胡小戊, 章樂虹, 陳欣欣, 等. 部分背闊肌皮瓣或側胸壁脂肪筋膜皮瓣在外側象限乳腺癌保乳治療中的應用. 中國修復重建外科雜志, 2017, 31(9): 1151-1152.
11.	黃貞強, 陳凱, 李順榮, 等. 經腋窩切口腔鏡下乳房皮下腺體切除聯合即刻乳房重建的療效觀察. 中國修復重建外科雜志, 2018, 32(11): 1458-1462.
12.	宋達疆, 李贊, 周曉, 等. 股薄肌皮瓣聯合大收肌穿支皮瓣在乳房重建中的應用. 中國修復重建外科雜志, 2018, 32(6): 707-713.
13.	劉夢友, 金功圣, 陳晨, 等. 保留乳頭乳暈乳腺癌改良根治術后即刻擴展型背闊肌乳房再造術的臨床應用. 中國普通外科雜志, 2018, 27(5): 601-607.
14.	張輝, 林孟波, 陳曉耕, 等. 早期乳腺癌行保留乳頭乳暈全乳切除術并一期乳房重建的治療效果. 外科研究與新技術, 2018, 7(1): 4-8.
15.	鄒偉偉, 白玉, 楊振林, 等. 胸大肌筋膜在乳腺癌乳房切除后即刻乳房重建中的應用. 中國普通外科雜志, 2017, 26(11): 1447-1452.
16.	孫建偉, 劉春生, 賴明華, 等. 保留 NAC 的改良根治術并一期乳房重建術治療早期乳腺癌的臨床效果. 中國普通外科雜志, 2015, 24(11): 1530-1535.
17.	郭瑢, 吳炅. 乳腺癌乳房整形外科應用現狀與進展. 中國腫瘤外科雜志, 2018, 10(3): 141-146.
18.	劉巖, 穆籣, 李廣學, 等. 乳房再造同期行對側乳房對稱性整形手術的初步探討. 中國修復重建外科雜志, 2016, 30(10): 1253-1257.

1. Pinell-White XA, Duggal C, Metcalfe D, et al. Patient-reported quality of life breast reconstruction: A one-year longitudinal study using the WHO-QOL survey. Ann Plast Surg, 2015, 75(2): 144-148.
2. Neto MS, de Aguiar Menezes MV, et al. Sexuality after breast reconstruction post mastectomy. Aesthetic Plast Surg, 2013, 37(3): 643-647.
3. Roh DS, Treiser MD, Lafleur EH, et al. Technique to promote symmetry in 2-staged bilateral breast reconstruction in the setting of unilateral postmastectomy radiation. Ann Plast Surg, 2017, 78(4): 386-391.
4. De Biasio F, Zingaretti N, De Lorenzi F, et al. Reduction mammaplasty for breast symmetrisation in implant-based reconstructions. Aesthetic Plast Surg, 2017, 41(4): 773-781.
5. Huang JJ, Wu CW, Leon Lam W, et al. Simultaneous contralateral breast reduction/mastopexy with unilateral breast reconstruction using free abdominal flaps. Ann Plast Surg, 2011, 67(4): 336-342.
6. Laporta R, Longo B, Sorotos M, et al. One-stage DIEP flapbreast reconstruction: Algorithm for immediate contralateral symmetrization. Microsurgery, 2015, 36(1): 7-19.
7. Stevenson TR, Goldstein JA. TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg, 1993, 92(2): 228-233.
8. 劉立剛, 武勇進, 王亮, 等. 保留乳房皮膚的乳腺切除與即刻乳房再造. 中國修復重建外科雜志, 2004, 18(6): 471-474.
9. 柴麗君, 張學慧. 前鋸肌肌瓣在乳腺癌改良根治術后即刻乳房再造中的應用. 中國修復重建外科雜志, 2017, 31(9): 1098-1101.
10. 胡小戊, 章樂虹, 陳欣欣, 等. 部分背闊肌皮瓣或側胸壁脂肪筋膜皮瓣在外側象限乳腺癌保乳治療中的應用. 中國修復重建外科雜志, 2017, 31(9): 1151-1152.
11. 黃貞強, 陳凱, 李順榮, 等. 經腋窩切口腔鏡下乳房皮下腺體切除聯合即刻乳房重建的療效觀察. 中國修復重建外科雜志, 2018, 32(11): 1458-1462.
12. 宋達疆, 李贊, 周曉, 等. 股薄肌皮瓣聯合大收肌穿支皮瓣在乳房重建中的應用. 中國修復重建外科雜志, 2018, 32(6): 707-713.
13. 劉夢友, 金功圣, 陳晨, 等. 保留乳頭乳暈乳腺癌改良根治術后即刻擴展型背闊肌乳房再造術的臨床應用. 中國普通外科雜志, 2018, 27(5): 601-607.
14. 張輝, 林孟波, 陳曉耕, 等. 早期乳腺癌行保留乳頭乳暈全乳切除術并一期乳房重建的治療效果. 外科研究與新技術, 2018, 7(1): 4-8.
15. 鄒偉偉, 白玉, 楊振林, 等. 胸大肌筋膜在乳腺癌乳房切除后即刻乳房重建中的應用. 中國普通外科雜志, 2017, 26(11): 1447-1452.
16. 孫建偉, 劉春生, 賴明華, 等. 保留 NAC 的改良根治術并一期乳房重建術治療早期乳腺癌的臨床效果. 中國普通外科雜志, 2015, 24(11): 1530-1535.
17. 郭瑢, 吳炅. 乳腺癌乳房整形外科應用現狀與進展. 中國腫瘤外科雜志, 2018, 10(3): 141-146.
18. 劉巖, 穆籣, 李廣學, 等. 乳房再造同期行對側乳房對稱性整形手術的初步探討. 中國修復重建外科雜志, 2016, 30(10): 1253-1257.

Chinese Journal of Reparative and Reconstructive Surgery

Application of contralateral mastoplasty in breast reconstruction after breast cancer surgery

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