Abstract
Introduction
Breast-conserving surgery (BCS) is a valid method for the reconstruction of partial
breast defects, however, there is a great variety of final aesthetic outcomes depending
on the location of the tumor in the breast and also on the initial breast volume and
the degree of ptosis. Specifically, defects affecting the upper inner/central quadrant
represent a reconstructive challenge with not always satisfactory final results. For
this purpose, the authors investigated the use of the central mound technique in breast-conserving
surgery. The aim of the study was to apply the central mound as an oncoplastic technique
and assess the satisfaction rate of the patients.
Materials and Methods
This was a retrospective study that involved 40 patients (80 breast) underwent breast
conserving surgery and contextual bilateral breast remodeling with central mound technique.
A pre- and postoperative Breast-Q questionnaire (breast conserving therapy module)
was given to all the patients before the surgery, 3 months and 9 months after. The
statistical analysis with chi-square test was performed.
Results
After 9 months the author found a major increase of all BREAST-Q parameters; the most
valuable increments concerned the “Satisfaction with breast” and “Psychosocial well-being.”
None of the patients experienced a decreased in the quality of life related to the
surgical procedure.
Conclusion
The authors believe that this technique has useful functional and aesthetic results
particularly appreciated by patients with upper pole lesion who have a slightly or
moderately breast ptosis and a small cup size.
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Article info
Publication history
Published online: January 11, 2023
Accepted:
January 6,
2023
Received in revised form:
January 1,
2023
Received:
December 28,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
