Method for shaping of the deep inferior epigastric artery perforator flap in individualized breast reconstruction
WANG Tao
HE Jin-guang
ZHANG Yi
XU Hua
LIU Ying
WANG Ting-liang
DONG Jia-sheng
Abstract：Objective To explore the efficacy of the deep inferior epigastric artery perforator (D[EP) flap in breast reconstruction and to introduce a well-established flap-shaping method and its aesthetic results.Methods From August 2012 to October 2015,a total of 109 breast cancer patients underwent delayed single breast reconstruction with DIEP flap in our hospital.The flap-shaping methods were quantitatively described and reconstructive outcomes were evaluated for asymmetry by a 3D scanning system at 6 months postoperative.Results In our series,based on the ptosis degree of the contralateral breast,24 flaps were designed in a crescent shape,42 flaps were designed in a semicircle shape,and 43 flaps were designed in a fusiform shape.The 3D scanning results showed that the discrepancy of the breast projection and nipple position did not differ significantly between the reconstructed and the normal breasts.However,the reconstructed side had significantly higher breast volume (P＜0.01) and projection (P＜0.01),which leaves room for scar revision and nipple reconstruction.Conclusion For Asian patients with a relatively tight abdomen,the flap design and shaping approach we propose achieves a pleasing and maximally symmetrical outcome and should be considered as a good and reliable option.
Keywords：DIEP flapMammary cancerBreast reconstructionFlap shaping
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 393-396,403 )