Wong Won Brian S, Wang Howard T, Karamanos Efstathios
From the University of Texas Health Sciences Center San Antonio, Division of Plastic Surgery, San Antonio, Tex.
Plast Reconstr Surg Glob Open. 2024 Aug 1;12(8):e6022. doi: 10.1097/GOX.0000000000006022. eCollection 2024 Aug.
For decades, oncoplastic techniques have been an emerging, yet underutilized approach to breast cancer surgery. Recent developments in breast oncology support the potential for the omission of radiation therapy in a subset of patients eligible for breast-conserving surgery, which makes immediate reconstruction available to a much larger demographic. Although existing oncoplastic methods have offered durable and cosmetically acceptable results in select cases, there remains significant room for improvement. This publication presents a novel option in oncoplastic reconstruction named Breast-Areola Reduction/Reconstruction (BARR) that utilizes the tenets of a superomedial pedicle breast reduction and a Wise-pattern closure to address asymmetry and deformity in treatment of central breast cancers. The BARR technique features principles that are foundational to plastic surgery training, which should augment the acquisition and delivery of oncoplastic surgery in the era of progress to come.
几十年来，肿瘤整形技术一直是一种新兴但未得到充分利用的乳腺癌手术方法。乳腺肿瘤学的最新进展支持了在一部分适合保乳手术的患者中省略放射治疗的可能性，这使得即刻乳房重建能够应用于更多人群。尽管现有的肿瘤整形方法在特定病例中已取得了持久且美观可接受的效果，但仍有很大的改进空间。本出版物介绍了一种肿瘤整形重建的新方法，即乳晕缩小/重建术（BARR），该方法利用了上内侧蒂乳房缩小术的原则和改良麦氏切口闭合技术来解决中央型乳腺癌治疗中的不对称和畸形问题。BARR技术的原理是整形外科学培训的基础，在未来的发展中，这将有助于肿瘤整形手术的学习和应用。
