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Late results and current indications of latissimus dorsi breast reconstructions

par De Mey, Albert ;Lejour, Madeleine ;Declety, A.;Meythiaz, A.M.
Référence British journal of plastic surgery, 44, 1, page (1-4)
Publication Publié, 1991

Article révisé par les pairs

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Résumé :

One hundred and fifty latissimus dorsi flaps were used in 145 patients out of a series of 483 breast reconstructions performed from 1977 to 1988. There were few immediate complications and a durable, good cosmetic result was obtained in two-thirds of the 103 cases reviewed after at least one year. The main reasons for dissatisfaction with long-term results were capsular contracture (grades III and IV) and upper displacement of the implant. The rate of these late complications was 30%, the same as found in the simpler subpectoral reconstruction. However, prostheses with a thick outer envelope induced only 10% of severe capsular contracture. Reconstructions with autologous tissue are currently replacing latissimus dorsi flap reconstructions unless local or general conditions contraindicate such major surgery or when the patient lacks motivation. © 1991 The Trustees of British Association of Plastic Surgeons. All rights reserved.