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Subject Area

Surgery

Document Type

Original Study

Abstract

Objectives: to compare between inferior pedicle mammaplasty and matrix rotational advancement flap as techniques for upper inner quadrant breast cancers regarding oncoplastic and aesthetic results. Background: Breast conserving therapy (BCT) is the standard of care in early breast cancer; has a value to provide a treatment as effective as mastectomy with benefits of breast preservation. However, traditional conservative surgery in the upper inner quadrant may not have good cosmetic results. Methods: All 30 patients were candidates for breast conservation and with upper inner breast tumors; patients were randomly categorized into two groups. Group A (16 patients) included patients who underwent inferiorly based therapeutic mammoplasty, while group B (14 patients) was designated for Matrix Rotation technique. The results of both groups were compared regarding demographic data, operative details ,complications and aesthetic outcome. Results: At mean followup period of 3 months, the complication rate was 18.75% in inferior based reduction mammoplasty and was 7.14 % in matrix rotation, with no significant importance (P-value= .6930). Surgical margins of resection were negative in all cases. The overall satisfaction for inferior based reduction mammoplasty was considered excellent in 62.5% patients, while the overall satisfaction for matrix rotation was considered excellent in 21.4% patients with significant P-value (0.0235). Conclusion: Both techniques are valid options for upper inner breast tumors. Inferior therapeutic mammoplasty remains aesthetically superior to matrix rotational flap especially for large ptotic breasts.

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