Modified anterior intercostal artery perforator rotational flap in lower pole breast cancers: a new technique

Sadary, Paula S.N.; Khalaf Allah, Mohamed A.M.; Ahmed Abdelaziz, Dina H.; Emam, Mahmoud T.R.; Farag, Ahmed G. Eldin Othman

doi:10.4103/ejs.ejs_189_22

Modified anterior intercostal artery perforator rotational flap in lower pole breast cancers: a new technique

Authors

Abstract

Background
Breast cancer, according to the National Cancer Institute, is the most common cancer in women in Egypt, as it accounts for ∼38.8% of total malignancies among Egyptian women. It is an important cause of mortality among women.
Aim
To evaluate the postoperative cosmetic outcome of a new surgical technique, that is, modified anterior intercostal artery perforator flap, in lower pole breast cancers at 4 and 5 o’clock positions and at 7 and 8 o’clock positions of right or left breast.
Patients and methods
This was a prospective descriptive study conducted on patients having breast masses at the lower pole at 4 and 5 o’clock positions and at 7 and 8 o’clock positions.
Results
In this study, 10 (66.7%) patients gave excellent degree of satisfaction to the postoperative cosmetic outcome of our surgical procedure, four (26.7%) patients gave good degree, and one (6.7%) patient gave fair degree of satisfaction.
Conclusion
‘Modified anterior intercostal artery perforator flap’ is a new, easy, and feasible technique that shows satisfactory results in patients having breast masses at the lower pole at 4 and 5 o’clock positions and at 7 and 8 o’clock positions of either breast having a cup size of A or B and tumor size of T1 or T2 according to TNM staging. We recommend to perform this new technique on a larger scale of patients and for a longer period of follow-up so as to get more information on advantages and drawbacks of this technique.

Keywords