Hashem Tarek, Taha Sherif N, Orabi Ahmed
Breast Unit, National Cancer Institute, Cairo University, Cairo, Egypt.
Surgical Oncology Department, National Cancer Institute, Kasr El Aini Street, Cairo, Egypt.
Indian J Surg Oncol. 2023 Mar;14(1):181-185. doi: 10.1007/s13193-022-01645-0. Epub 2022 Sep 16.
Perforator flaps are the latest development in reconstructive surgery. Pedicled chest wall perforator flaps can be utilized in many cases of partial breast reconstruction. This research compares the outcome and technique of thoracodorsal artery perforator flap (TDAP) and the lateral intercostal artery perforator flap (LICAP) in the reconstruction of partial breast defects. Patient records were reviewed for the time period between 2011 and 2019 at the Breast Unit of the National Cancer Institute of Cairo University. Eighty three patients were accessible for the study. (46 cases of TDAP flap and 37 cases of LICAP flap). Relevant clinical data were extracted from patients' records. A special visit was organized for all 83 patients, where a digital photograph was taken in an antroposterior view. The photographs were later processed via BCCT.core software to obtain an objective cosmetic outcome assessment. Complication rates and cosmetic outcome were comparable for both techniques. TDAP flap proved to require more tedious dissection and preoperative Doppler mapping to localize perforator vessels. On the other hand, LICAP was technically easier with more consistent perforators. Pedicled chest wall perforator flaps constitute an excellent reconstructive option in partial breast defects. TDAP flap and LICAP are two reliable perforator flaps which can reconstruct outer breast defects with acceptable outcome.
穿支皮瓣是重建外科的最新进展。带蒂胸壁穿支皮瓣可用于多种部分乳房重建病例。本研究比较了胸背动脉穿支皮瓣（TDAP）和肋间外侧动脉穿支皮瓣（LICAP）在部分乳房缺损重建中的效果和技术。回顾了开罗大学国家癌症研究所乳腺科2011年至2019年期间的患者记录。83例患者可供研究。（46例TDAP皮瓣和37例LICAP皮瓣）。从患者记录中提取相关临床数据。为所有83例患者组织了一次特别会诊，拍摄了前后位数码照片。这些照片随后通过BCCT.core软件进行处理，以获得客观的美容效果评估。两种技术的并发症发生率和美容效果相当。事实证明，TDAP皮瓣需要更繁琐的解剖和术前多普勒定位穿支血管。另一方面，LICAP在技术上更容易，穿支更一致。带蒂胸壁穿支皮瓣是部分乳房缺损的一种优秀重建选择。TDAP皮瓣和LICAP是两种可靠的穿支皮瓣，可重建乳房外侧缺损，效果良好。
