title: Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts.
abstract: BACKGROUND
  In Korean women, many of whom have small to moderate-sized breasts, it is difficult to cover a partial breast defect using oncoplastic volume displacement techniques after removal of an adequate volume of tissue during oncologic surgery. In such cases, oncoplastic volume replacement techniques are more useful.
  
  
  METHODS
  From January 2007 to December 2011, 104 women underwent a total of 107 breast-conserving surgeries with various kinds of oncoplastic volume replacement techniques. We used latissimus dorsi (LD) myocutaneous flap for cases in which the resection mass was greater than 150 g. In case with a resection mass less than 150 g, we used regional flaps such as a lateral thoracodorsal flap, a thoracoepigastric flap, or perforator flaps such as an intercostal artery perforator (ICAP) flap or a thoracodorsal artery perforator (TDAP) flap.
  
  
  RESULTS
  The mean age was 46.1 years, and the average follow-up interval was 10.3 months. The patients underwent oncoplastic volume replacement techniques with a lateral thoracodorsal flap (n=9), thoracoepigastric flap (n=7), ICAP flap (n=25), TDAP flap (n=12), and LD flap (n=54). There was one case of congestion in an LD flap, and two cases of fat necrosis in an ICAP flap. Most of the patients were satisfied with the cosmetic results.
  
  
  CONCLUSIONS
  Oncoplastic volume replacement techniques can be reliable and useful for the correction of breast deformity after breast-conserving surgery, especially in patients with small to moderate-sized breasts.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Jung Dug
authors.initials: JD
authors.lastname: Yang
authors.forename: Min Chul
authors.initials: MC
authors.lastname: Kim
authors.forename: Jeong Woo
authors.initials: JW
authors.lastname: Lee
authors.forename: Young Kyoo
authors.initials: YK
authors.lastname: Cho
authors.forename: Kang Young
authors.initials: KY
authors.lastname: Choi
authors.forename: Ho Yun
authors.initials: HY
authors.lastname: Chung
authors.forename: Byung Chae
authors.initials: BC
authors.lastname: Cho
authors.forename: Ho Yong
authors.initials: HY
authors.lastname: Park
keywords: Breast neoplasms; Mammaplasty; Surgical flaps