oncoplastic final

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محاضرات عين شمس

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  • 1. ByDr. KARIM FAHMYDR.RANA YOUSSRYSupervised byProf. Dr. FATEEN ANOUS

2. Definition ooff tteerrmm oonnccooppllaassttiicc:: Oncoplastic surgery defines the appropriateadequate surgery to extirpate a cancer in the breastcombined with partial or total reconstruction 3. Indication ffoorr oonnccooppllaassttiicc tteecchhnniiqquueess 10% volume resection. Central location. Lower pole location. Medial pole location. Ptotic small breasts. Multifocality UOQ lesions.? the gravity of the breastparenchyma may stretch the skin over thedefect and may improve cosmesis withoutusing a local oncoplastic technique 4. Contraindications ffoorr oonnccooppllaassttiicc tteecchhnniiqquueessInflammatory carcinoma.Multicentric carcinoma.Progressive disease after neoadjuvanttherapy.Without adjuvant radiotherapy. 5. Volume displacement Level 1 Intra-mammarian flapVolume replacement TRAMMINI LD FLAP Prosthetic implantTypesLevel 2Inferior pedicle techniques Superior pedicle techniques Vertical scar techniquesRound block techniques Grisotti flapsDoughnut mastopexyL mamoplastyS shaped mamoplastyBatwing mamoplasty 6. Advantage ooff oonnccooppllaassttiicc tteecchhnniiqquueess*Increase Of Resection Volume*Better Cosmetic Results 7. Disadvantages ooff oonnccooppllaassttiicc tteecchhnniiqquueess Prolongation of operative time. Increase local morbidities e.g.. Skin necrosis andwound dehiscence 8. Different oonnccooppllaassttiicc tteecchhnniiqquueessffoorr RReeccoonnssttrruuccttiioonn ooff PPaarrttiiaallMMaasstteeccttoommyy DDeeffeeccttss 9. Superior Pedicle RReedduuccttiioonn MMaammmmaappllaassttyy 10. Superior pedicle rreedduuccttiioonn mmaammmmaappllaassttyy 11. Superior pedicle rreedduuccttiioonn mmaammmmaappllaassttyy 12. Superior PPeeddiiccllee RReedduuccttiioonn MMaammmmaappllaassttyy 13. Superior PPeeddiiccllee RReedduuccttiioonn MMaammmmaappllaassttyy 14. Superior Pedicle RReedduuccttiioonn MMaammmmaappllaassttyyPostoperative View 3 YearsAfter Partial Mastectomy AndSuperior-based PedicleReduction Mammaplasty.56-year-old Woman With A 21Mm Breast Cancer In The LowerQuadrant Of The Left Breast. 15. IInnffeerriioorr PPeeddiiccllee MMaammmmaappllaassttyy ffoorrRReeccoonnssttrruuccttiioonn ooff PPaarrttiiaallMMaasstteeccttoommyy DDeeffeeccttss 16. MMeeddiiaall oorr LLaatteerraall PPeeddiicclleeVVeerrttiiccaall BBrreeaasstt RReedduuccttiioonn((HHaallll--FFiinnddllaayy oorr SSnnoowwmmaann TTeecchhnniiqquuee)) 17. . 18. SS--SShhaappeedd OObblliiqquuee RReedduuccttiioonnMMaammmmaappllaassttyy ffoorr RReeccoonnssttrruuccttiioonnooff PPaarrttiiaall MMaasstteeccttoommyy DDeeffeeccttss 19. preoperative view of a 56-year-old woman operated withan S-shaped oblique reduction.postoperative result 3years after surgery andradiation. 20. VVoolluummee rreeppllaacceemmeenntt 21. TRAM 22. TRAM

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