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DOI: 10.5999/aps.2017.01039
A rare approach? Microsurgical breast reconstruction after severe burns
This case report was presented at the Mayo Clinic Chang Gung Symposium Reconstructive Surgery on October 19–22, 2016, in Munich, Germany.
Breast deformity, in post-burn patients, is a common problem leading to lower self-esteem and reclusive behavior that impairs quality of life. The authors present the course of treatment of an 18-year-old immigrant girl who suffered second- to third-degree burns over approximately 20% of her total body surface area in her early childhood. The second- to third-degree burns were located on her right trunk and abdomen, as well as her right shoulder, neck, and right groin area. Since it was not offered in her home country, reconstructive surgery, including microsurgical breast reconstruction, was sought abroad. Due to the lack of available skin and soft tissue, a bilateral breast reconstruction with free transverse myocutaneous gracilis flaps was offered. This case illustrates one method of using microsurgery to address post-burn breast deformities in order to alleviate psychological suffering and improve quality of life.
Publication History
Received: 15 June 2017
Accepted: 16 August 2017
Article published online:
22 May 2022
© 2018. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Neale HW, Smith GL, Gregory RO. et al. Breast reconstruction in the burned adolescent female (an 11-year, 157 patient experience). Plast Reconstr Surg 1982; 70: 718-24
- 2 Robert RS, Blakeney PE, Meyer 3rd WJ. Impact of disfiguring burn scars on adolescent sexual development. J Burn Care Rehabil 1998; 19: 430-5
- 3 Ogilvie MP, Panthaki ZJ. Burns of the developing breast. J Craniofac Surg 2008; 19: 1030-3
- 4 MacLennan SE, Wells MD, Neale HW. Reconstruction of the burned breast. Clin Plast Surg 2000; 27: 113-9
- 5 Tsoutsos D, Stratigos A, Gravvanis A. et al. Burned breast reconstruction by expanded artificial dermal substitute. J Burn Care Res 2007; 28: 530-2
- 6 Guan WX, Jin YT, Cao HP. Reconstruction of postburn female breast deformity. Ann Plast Surg 1988; 21: 65-9
- 7 Ozgur F, Gokalan I, Mavili E. et al. Reconstruction of postburn breast deformities. Burns 1992; 18: 504-9
- 8 Slator RC, Wilson GR, Sharpe DT. Postburn breast reconstruction: tissue expansion prior to contracture release. Plast Reconstr Surg 1992; 90: 668-71
- 9 Bayram Y, Sahin C, Sever C. et al. Custom-made approach to a patient with post-burn breast deformity. Indian J Plast Surg 2014; 47: 127-31
- 10 Iwuagwu FC, Wilson D, Bailie F. The use of skin grafts in postburn contracture release: a 10-year review. Plast Reconstr Surg 1999; 103: 1198-204
- 11 Shen TY, Sun YH, Cao DX. et al. The use of free flaps in burn patients: experiences with 70 flaps in 65 patients. Plast Reconstr Surg 1988; 81: 352-7
- 12 De Lorenzi F, van der Hulst R, Boeckx W. Free flaps in burn reconstruction. Burns 2001; 27: 603-12
- 13 Grishkevich VM. Restoration of the shape, location and skin of the severe burn-damaged breast. Burns 2009; 35: 1026-35
- 14 Haik J, Grabov-Nardini G, Goldan O. et al. Expanded reverse abdominoplasty for reconstruction of burns in the epigastric region and the inframammary fold in female patients. J Burn Care Res 2007; 28: 849-53