title: [The use of an inferior dermo-glandular flap in Thorek's technique, based on a series of 21 cases].
abstract: Thorek's technique, first described in 1922 for breast reductions, has been progressively replaced by techniques using a dermoglandular pedicle. This first technique is still performed today in cases of major hypertrophy. But the major disadvantage is the tendency for the breast to be too flat post-reduction. We tried to correct this problem by preserving an inferior dermoglandular flap rolled into a cone shape before positioning it within the bulk of the breast, thus giving a better projection. The authors present a series of 21 patients operated by this technique with a median follow-up of two years. The preliminary results are encouraging and we think that this procedure is a treatment of choice in cases of gigantomastia.
authors.affiliation: Service de Chirurgie Plastique Reconstructrice et Esthétique et Chirurgie de la Main, Centre Hospitalier du Luxembourg.
authors.forename: A
authors.initials: A
authors.lastname: Neuprez
authors.forename: S
authors.initials: S
authors.lastname: Haykal
authors.forename: N
authors.initials: N
authors.lastname: Calteux
mesh_terms: D000328:Adult; D001940:Breast / Q000637:transplantation*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D009558:Nipples / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps
vernacular_title: Utilisation d'un lambeau dermo-glandulaire inférieur dans la technique de Thorek. A propos de 21 cas.