The "Type V" skin-sparing mastectomy for upper quadrant skin resections

Annals of Plastic Surgery
F SantanelliClaudio Amanti

Abstract

Skin-sparing mastectomies (SSMs) are classified according to the type of incision and breast size. In large breasts, if cancer is superficially located in the upper quadrants, SSM type IV is not indicated, because tumor resection interferes with skin flap pattern. For these patients, a modified Wise-pattern SSM has been developed to achieve immediate breast reconstruction. Twenty-four patients, 14 with tumor in the superior-lateral, 7 in the superior-medial, and 3 in the inferior-lateral quadrant, were operated on with modified SSM incisions. To replace the skin area removed with mastectomy from the upper quadrants, a similar size area from the lower pole was used. No local or distant recurrences occurred, with a mean follow-up of 27 months. Natural breast shape was achieved in all cases. Our procedure allows for a skin-sparing mastectomy (SSM type V) with immediate reconstruction, achieving a natural breast shape also in this group of patients previously excluded.

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Citations

Oct 12, 2012·Annals of Surgical Oncology·Fabio SantanelliGuido Paolini
Jan 31, 2014·Aesthetic Plastic Surgery·Louis WesselsSteven Merten
Sep 3, 2014·International Journal of Surgery·Bishara AtiyehJaber Abbas
Mar 3, 2015·Microsurgery·Rosaria LaportaFabio Santanelli Di Pompeo
Apr 29, 2014·Microsurgery·Rosaria LaportaFabio Santanelli Di Pompeo
Apr 30, 2017·Journal of Plastic Surgery and Hand Surgery·Fabio Santanelli di PompeoBenedetto Longo
Nov 3, 2020·Case Reports in Plastic Surgery & Hand Surgery·Fabio Santanelli di PompeoGuido Paolini

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