oncoplastic final
DESCRIPTION
محاضرات عين شمسTRANSCRIPT
By
Dr. KARIM FAHMY
DR.RANA YOUSSRY
Supervised by
Prof. Dr. FATEEN ANOUS
Definition of term Definition of term
‘‘oncoplastic’’:‘‘oncoplastic’’:
Oncoplastic surgery defines the appropriate
adequate surgery to extirpate a cancer in the breast
combined with partial or total reconstruction
Indication for oncoplastic Indication for oncoplastic techniquestechniques
10% volume resection. Central location. Lower pole location. Medial pole location. Ptotic small breasts. Multifocality UOQ lesions.? the gravity of the breast
parenchyma may stretch the skin over the defect and may improve cosmesis without using a local oncoplastic technique
Contraindications for oncoplastic Contraindications for oncoplastic techniquestechniques
Inflammatory carcinoma.
Multicentric carcinoma.
Progressive disease after neoadjuvant therapy.
Without adjuvant radiotherapy.
Volume displacement
• Level 1
• Intra-mammarian flap
Volume replacement
TRAM
MINI LD FLAP
Prosthetic implant
Types
Level 2
•Inferior pedicle techniques
• Superior pedicle techniques
• Vertical scar techniques
•Round block techniques
• Grisotti flaps
•Doughnut mastopexy
•L mamoplasty
•S shaped mamoplasty
•Batwing mamoplasty
Advantage of oncoplastic Advantage of oncoplastic techniques techniques
*Increase Of Resection Volume
*Better Cosmetic Results
Disadvantages of oncoplastic Disadvantages of oncoplastic techniquestechniques
Prolongation of operative time.
Increase local morbidities e.g.. Skin necrosis
and wound dehiscence
Different oncoplastic Different oncoplastic techniques for techniques for
Reconstruction of Partial Reconstruction of Partial Mastectomy DefectsMastectomy Defects
Superior Pedicle Reduction Superior Pedicle Reduction MammaplastyMammaplasty
Superior pedicle reduction Superior pedicle reduction mammaplastymammaplasty
Superior pedicle reduction Superior pedicle reduction mammaplastymammaplasty
Superior Pedicle Reduction Superior Pedicle Reduction MammaplastyMammaplasty
Superior Pedicle Reduction Superior Pedicle Reduction MammaplastyMammaplasty
Superior Pedicle Reduction Superior Pedicle Reduction MammaplastyMammaplasty
Postoperative View 3 Years
After Partial Mastectomy
And Superior-based Pedicle
Reduction Mammaplasty.
56-year-old Woman With A
21 Mm Breast Cancer In
The Lower Quadrant Of The
Left Breast.
Inferior Pedicle Inferior Pedicle Mammaplasty for Mammaplasty for
Reconstruction of Partial Reconstruction of Partial Mastectomy DefectsMastectomy Defects
Medial or Lateral Pedicle Medial or Lateral Pedicle Vertical Breast Vertical Breast
Reduction(Hall-Findlay or Reduction(Hall-Findlay or Snowman Technique)Snowman Technique)
.
S-Shaped Oblique Reduction S-Shaped Oblique Reduction Mammaplasty for Mammaplasty for Reconstruction Reconstruction
of Partial Mastectomy Defectsof Partial Mastectomy Defects
preoperative view of a 56-year-old woman operated with an S-shaped oblique reduction.
postoperative result 3 years after surgery and radiation.
Volume replacementVolume replacement
TRAM
TRAM