Anterior intercostal artery perforator flap in immediate breast reconstruction: Anatomical study and clinical application

Microsurgery ◽  
2017 ◽  
Vol 37 (6) ◽  
pp. 603-610 ◽  
Author(s):  
Cristian Carrasco-López ◽  
Juan Francisco Julian Ibañez ◽  
Jordi Vilà ◽  
Miguel Angel Luna Tomás ◽  
Jordi Navinés López ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Clinical Application ◽  
Perforator Flap ◽  
Anatomical Study ◽  
Immediate Breast Reconstruction ◽  
Intercostal Artery ◽  
Artery Perforator

Anterior Intercostal Artery Perforator Flap as a Simple Technique for Partial Breast Reconstruction: Our Institutional Initial Experience

2020 ◽  
Vol 106 (1_suppl) ◽  
pp. 40-40
Author(s):  
R Amira Maher ◽  
Ahmed Gamal Eldin Osman ◽  
K Fahmy ◽  
Nouf M. Ebied ◽  
Reda Eissa
Keyword(s):  
Breast Reconstruction ◽  
Donor Site ◽  
Perforator Flap ◽  
Cosmetic Outcome ◽  
University Hospital ◽  
Intercostal Artery ◽  
Breast Size ◽  
Cancer Management ◽  
The Mean ◽  
Artery Perforator

Background: The oncoplastic surgery has brought new dimensions to breast conserving surgery and added the aesthetic principles of breast surgery to breast cancer management. Recently there's a lot of volume replacement techniques without significant donor site morbidity .The anterior intercostal artery perforator (AICAP) flap is a suitable option in partial breast reconstruction for lower pole tumors in small and medium sized breasts. Objectives: The aim of this study is to report our clinical experience with anterior intercostal perforator flap in partial breast reconstruction Methodology: 25 cases were performed between April 2018 to June 2019 at in Ain shams university hospitals for selected patients with lower breast pole tumors with small and medium sized breast and other option like reduction mMDTmoplasty wasn't favorable for them. Results: A total of 25 patient were selected by the multidisplinary team at Ain shams university hospital for partial breast reconstruction with anterior intercostal artery perforator flap . The mean age of the cases was 45.68 with mean body mass index of 32.32. The mean operative time for the flap was 64 minutes while the hospital stay was ranging from 1-2 days .Follow-up for local recurrence was from 6 to 14 months. There was 1 case with wound complication (4%). The cosmetic outcome was assessed by the MDT and a giving score from 1-5 was used with 1 is the least favorable cosmetic outcome and 5 is the best result 76% of the cases scored 5, 14% scored 4, 8% scored 3. According to patient satisfaction a score from 1 to 5 was used with the score 1 is least satisfied and score 5 represents the most satisfaction level, there was 80% of the patient gave the score 5, 12% of the cases gave the score 4 and 8% of the cases gave the score 3 Conclusions: Based on our experience, partial breast reconstruction using AICAP flap is a reliable option for lower breast tumors in small-to-moderate breast size with perfect cosmetic outcome and negligible rate of complication.

Facial artery perforator flap for reconstruction of perinasal defects: An anatomical study and clinical application

2015 ◽  
Vol 43 (10) ◽  
pp. 2057-2065 ◽  
Author(s):  
Olivier Camuzard ◽  
Rémi Foissac ◽  
Charalambos Georgiou ◽  
Lucas Andot ◽  
Florent Alcaraz ◽  
...  
Keyword(s):  
Clinical Application ◽  
Perforator Flap ◽  
Anatomical Study ◽  
Facial Artery ◽  
Artery Perforator

A Multicentric Prospective Cohort Study of Modified Lateral Intercostal Artery Perforator Flap in Partial Breast Reconstruction

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Foteini Neamonitou ◽  
Dinesh Thekkinkattil ◽  
Aiswarya Sukumar ◽  
Lydia Prusty ◽  
Raghavan Vidya
Keyword(s):  
Cohort Study ◽  
Breast Reconstruction ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Perforator Flap ◽  
Intercostal Artery ◽  
Artery Perforator

scholarly journals Immediate breast reconstruction using the free lumbar artery perforator flap and lateral thoracic vein interposition graft for recipient lateral thoracic artery anastomosis

2016 ◽  
Vol 49 (01) ◽  
pp. 91-94 ◽  
Author(s):  
Toshihiko Satake ◽  
Reiko Nakasone ◽  
Shinji Kobayashi ◽  
Jiro Maegawa
Keyword(s):  
Breast Reconstruction ◽  
Ductal Carcinoma ◽  
Perforator Flap ◽  
Immediate Breast Reconstruction ◽  
Lumbar Artery ◽  
Excess Skin ◽  
Interposition Graft ◽  
Recipient Vessel ◽  
Lateral Thoracic Artery ◽  
Artery Perforator

ABSTRACTThe lumbar artery perforator (LAP) flap, which contains excess skin and fat tissue, love handles, that extends from the lower back to upper buttock, may provide an alternate tissue source for autologous breast reconstruction. However, LAP flap use during this procedure frequently requires vessel interposition grafts to correct the short flap pedicle length and mismatched recipient vessel calibre. A 46-year-old patient underwent a right nipple-sparing mastectomy using a lateral approach for ductal carcinoma in situ and immediate LAP flap breast reconstruction. The lateral thoracic vessel served as the recipient vessel, and a lateral thoracic vein interposition graft from the distal remnant was performed to adjust the arterial length and size discrepancy between the recipient lateral thoracic artery and pedicle artery. This procedure facilitates microsurgical anastomosis and medialisation of LAP flap to make a natural decollete line and create a cleavage for the reconstructed breast.

Lateral intercostal artery perforator flap for partial breast reconstruction in breast cancer

2018 ◽  
Vol 92 ◽  
pp. S75
Author(s):  
M. Chandarana ◽  
S. Jafferbhoy ◽  
S. Marla ◽  
S. Narayanan ◽  
S. Soumian
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Perforator Flap ◽  
Intercostal Artery ◽  
Artery Perforator
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