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CC BY-NC 4.0 · Arch Plast Surg 2012; 39(06): 631-635
DOI: 10.5999/aps.2012.39.6.631
Original Article

Assessment of Breast Volume Change after Transverse Rectus Abdominis Myocutaneous Flap

Sang Uk Park
Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea
,
Jeong Su Shim
Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea
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Background The evaluation of a breast after breast reconstruction depends on a surgeon's subjective criteria. We used computed tomography (CT) scans to obtain an objective evaluation of the postoperative results by measuring the breast volume of patients who had undergone breast reconstruction using pedicled transverse rectus abdominis myocutaneous (TRAM) flaps. This research will help in the objective postoperative evaluation of reconstructed breasts, and also in the preoperative flap size designs.

Methods A total of 27 patients underwent breast reconstruction using pedicled TRAM flaps after mastectomy from September 2007 to July 2010. Of these, 10 patients who were followed up and underwent CT scans 2 or more times during the follow-up period were included in this study. We evaluated the change in breast volume over time using CT scans, and the interval breast volume change between CT scans.

Results All of the 10 patients' reconstructed breasts showed a volume decrease over time. The breast volume changes in the intervals between CT scans were as follows: 5.65% decrease between the first CT and second CT scan, 2.3% decrease between the second CT and third CT scan, (statistically significant) and 1.89% decrease between the third CT and forth CT scan. (not statistically significant).

Conclusions This research shows the possibility of objectively evaluating the postoperative breast volume changes. The findings will be helpful in designing the size of TRAM flaps to use on defects after mastectomy. Based on these results, we should also closely observe the reconstructed breast volume for at least 2 years.

Keywords

Mammaplasty - Multidetector computed tomography - Organ size


Publication History

Received: 26 May 2012

Accepted: 23 July 2012

Article published online:
01 May 2022

© 2012. 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 Levine SM, Lester ME, Fontenot B. et al. Perforator flap breast reconstruction after unsatisfactory implant reconstruction. Ann Plast Surg 2011; 66: 513-517
    CrossrefPubMedGoogle Scholar
  • 2 Vega SJ, Bossert RP, Serletti JM. Improving outcomes in bilateral breast reconstruction using autogenous tissue. Ann Plast Surg 2006; 56: 487-490
    CrossrefPubMedGoogle Scholar
  • 3 Mandrekas AD, Zambacos GJ, Zervoudis S. Tram flap breast reconstruction and weight fluctuations: it is alive!. Plast Reconstr Surg 2003; 112: 696-697
    CrossrefPubMedGoogle Scholar
  • 4 Tegrmeier RE. A convenient, effective mammary sizer. Aesth Plast Surg 1979; 3
    Google Scholar
  • 5 Grossman AJ, Roudner LA. A simple means for accurate breast volume determination. Plast Reconstr Surg 1980; 66: 851-852
    CrossrefPubMedGoogle Scholar
  • 6 Edsander-Nord A, Wickman M, Jurell G. Measurement of breast volume with thermoplastic casts. Scand J Plast Reconstr Surg Hand Surg 1996; 30: 129-132
    CrossrefPubMedGoogle Scholar
  • 7 Galdino GM, Nahabedian M, Chiaramonte M. et al. Clinical applications of three-dimensional photography in breast surgery. Plast Reconstr Surg 2002; 110: 58-70
    CrossrefPubMedGoogle Scholar
  • 8 Kovacs L, Eder M, Hollweck R. et al. Comparison between breast volume measurement using 3D surface imaging and classical techniques. Breast 2007; 16: 137-145
    CrossrefPubMedGoogle Scholar
  • 9 Herold C, Reichelt A, Stieglitz LH. et al. MRI-based breast volumetry-evaluation of three different software solutions. J Digit Imaging 2010; 23: 603-610
    CrossrefPubMedGoogle Scholar
  • 10 Caruso MK, Guillot TS, Nguyen T. et al. The cost effectiveness of three different measures of breast volume. Aesthetic Plast Surg 2006; 30: 16-20
    CrossrefPubMedGoogle Scholar
  • 11 Lee JG, Kweon YD, Kim CS. et al. Orbital volume change measured by computed tomography in blow out fracture. J Korean Soc Plast Reconstr Surg 2000; 27: 437-443
    Google Scholar
  • 12 Stevenson TR, Goldstein JA. TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg 1993; 92: 228-233
    CrossrefPubMedGoogle Scholar
  • 13 Amir A, Silfen R, Hauben DJ. Use of Archimedes' law for measuring the volume of the TRAM flap in immediate breast reconstruction. Plast Reconstr Surg 1999; 103: 1329
    PubMedGoogle Scholar
  • 14 Lazarus D, Hudson DA. A simple method for determining the weight of the TRAM flap intraoperatively at the time of breast reconstruction. Plast Reconstr Surg 2001; 107: 818-822
    CrossrefPubMedGoogle Scholar