Pectoralis major myo-parenchymal flap for local reconstruction of partial mastectomy defects: Description of a new technique

Article type: Case Report

Authors: Hussein, Osama^a; | Roshdy, Sameh^a | Hamdy, Omar^a | Denewer, Adel^a

Affiliations: [a] Surgery Department, Mansoura University Oncology Center, Mansoura, Egypt

Correspondence: [*] Corresponding author: Osama Hussein, Mansoura University Oncology Center, Mansoura, 35516, Egypt. Tel.: +20 1099 8151 10; E-mails: [email protected], [email protected]

Abstract: INTRODUCTION:Breast conservation is the standard of care for early breast cancer. Several oncoplastic approaches have been described for the reconstruction of partial breast defects. The multiplicity of techniques indicates that the ideal reconstructive technique is yet to be identified. There has been a recent emphasis on minimizing the magnitude of surgery. In this report, we describe our experience using the pectoralis major muscle to fill relatively large post-tumorectomy breast defects. PATIENTS AND TECHNIQUE:Nine patients were operated on for malignant breast lesions. Tumorectomy resection with surgical margin rendered a 40–50% breast defect. The parenchymal defect was repaired with an advancement muscle flap of the ipsilateral pectoralis major muscle. RESULTS:All patients experienced a non-eventful postoperative course. The early cosmetic outcome was excellent in four patients, good in another four, and fair in one patient. CONCLUSION:The pectoralis major flap is useful for local repair of upper half partial breast defects in non-ptosed, cup A–B breasts.

Keywords: Breast cancer, breast conservative surgery, oncoplastic surgery, pectoralis major flap

DOI: 10.3233/BD-201042

Journal: Breast Disease, vol. 41, no. 1, pp. 31-36, 2022