Study on advantages and feasibility of cricoid breast ligament in anterior breast muscle prosthesis implantation after breast cancer surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

SU Fenglian ,  REN Yi , ZHAO Changxiao , ZHONG Qing

Department of Breast Surgery, Xuzhou Cancer Hospital, Xuzhu, Jiangsu 221000, P. R. China;

Corresponding author：

REN Yi, Email: ry00666@163.com

Keywords：

breast cancer; cricoid breast ligament; prostheses; reconstruction; anterior pectoral muscle

DOI：

10.7507/1007-9424.202308031

Video：

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Objective To explore advantages and feasibility of a new prosthesis implantation method after breast cancer surgery by reacquaint breast anatomy. Methods The clinicopathologic data of patients with breast cancer were retrospectively collected. The patients underwent the breast cancer surgery and prosthesis implantation with cricoid breast ligament in the Xuzhou Cancer Hospital from January 1, 2021 to May 30, 2023. Results A total of 10 patients were collected, with age ranging from 31 to 59 years old. Three patients received postoperative analgesia, 2 patients occurred infection, 1 patient occurred fat liquefaction. All patients did not experience capsular contracture, flap necrosis, or removal of the prosthesis. Two patients had sentinel lymph node metastasis. All patients followed-up 3 to 24 months after surgery. The BREAST-Q questionnaire was used to assess the quality of life and satisfaction after surgery, 3 patients were very satisfied, 5 were satisfied, and 2 were basically satisfied. Conclusion From the results of limited cases analysis in this study, it is safe and feasible to implant the prosthesis with cricoid breast ligament in selected patients after breast cancer surgery.

Citation： SU Fenglian, REN Yi, ZHAO Changxiao, ZHONG Qing. Study on advantages and feasibility of cricoid breast ligament in anterior breast muscle prosthesis implantation after breast cancer surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(12): 1452-1456. doi: 10.7507/1007-9424.202308031 Copy

1.	吕建鑫, 张亚男. 乳腺肿瘤整形保乳术及乳房重建手术. 中国肿瘤外科杂志, 2021, 13(3): 216-219, 224.
2.	Bernini M, Calabrese C, Cecconi L, et al. Subcutaneous direct-to-implant breast reconstruction: surgical, functional, and aesthetic results after long-term follow-up. Plast Reconstr Surg Glob Open, 2016, 3(12): e574.
3.	Rehnke RD, Groening RM, Van Buskirk ER, et al. Anatomy of the superficial fascia system of the breast: a comprehensive theory of breast fascial anatomy. Plast Reconstr Surg, 2018, 142(5):1135-1144.
4.	Pusic AL, Klassen AF, Scott AM, et al. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg, 2009, 124(2): 345-353.
5.	Cano SJ, Klassen AF, Scott AM, et al. The BREAST-Q: further validation in independent clinical samples. Plast Reconstr Surg, 2012, 129(2): 293-302.
6.	Yan H, Gao P, Kong X, et al. Study on short-term cosmetic effects and quality of life after breast cancer modified radical mastectomy combined with one-stage prosthesis implantation. J Cancer Res Ther, 2022, 18(7): 1988-1993.
7.	修秉虬, 郭瑢, 杨犇龙, 等. 中国乳腺癌术后乳房重建手术横断面调查研究. 中华肿瘤杂志, 2019, 41(7): 546-551.
8.	Ostapenko E, Nixdorf L, Devyatko Y, et al. Prepectoral versus subpectoral implant-based breast reconstruction: a systemic review and meta-analysis. Ann Surg Oncol, 2023, 30(1): 126-136.
9.	Salibian AH, Harness JK. Oncologic safety of staged prepectoral implant reconstruction following nipple-sparing mastectomy: a mean 9-year follow-up. Plast Reconstr Surg, 2022, 150(3): 513-522.
10.	Scardina L, Di Leone A, Biondi E, et al. Prepectoral vs. submuscular immediate breast reconstruction in patients undergoing mastectomy after neoadjuvant chemotherapy: our early experience. J Pers Med, 2022, 12(9): 1533. doi: 10.3390/jpm12091533.
11.	Long C, Kraenzlin F, Aravind P, et al. Prepectoral breast reconstruction is safe in the setting of post-mastectomy radiation therapy. J Plast Reconstr Aesthet Surg, 2022, 75(9): 3041-3047.
12.	Holland M, Su P, Piper M, et al. Prepectoral breast reconstruction reduces opioid consumption and pain after mastectomy: a head-to-head comparison with submuscular reconstruction. Ann Plast Surg, 2022, 89(5): 492-499.
13.	Ching AH, Lim K, Sze PW, et al. Quality of life, pain of prepectoral and subpectoral implant-based breast reconstruction with a discussion on cost: a systematic review and meta-analysis. J Plast Reconstr Aesthet Surg, 2022, 75(8): 2550-2560.
14.	Silva J, Carvalho F, Marques M. Direct-to-implant subcutaneous breast reconstruction: a systematic review of complications and patient’s quality of life. Aesthetic Plast Surg, 2023, 47(1): 92-105.
15.	Harvey KL, Sinai P, Mills N, et al. Short-term safety outcomes of mastectomy and immediate prepectoral implant-based breast reconstruction: Pre-BRA prospective multicentre cohort study. Br J Surg, 2022, 109(6): 530-538.
16.	Bekisz JM, Salibian AA, Frey JD, et al. Picking the right plane: a comparison of total submuscular, dual-plane, and prepectoral implant-based breast reconstruction. Plast Reconstr Surg, 2022, 150(4): 737e-746e.
17.	Urban C, González E, Fornazari A, et al. Prepectoral direct-to-implant breast reconstruction without placement of acellular dermal matrix or mesh after nipple-sparing mastectomy. Plast Reconstr Surg, 2022, 150(5): 973-983.

1. 吕建鑫, 张亚男. 乳腺肿瘤整形保乳术及乳房重建手术. 中国肿瘤外科杂志, 2021, 13(3): 216-219, 224.
2. Bernini M, Calabrese C, Cecconi L, et al. Subcutaneous direct-to-implant breast reconstruction: surgical, functional, and aesthetic results after long-term follow-up. Plast Reconstr Surg Glob Open, 2016, 3(12): e574.
3. Rehnke RD, Groening RM, Van Buskirk ER, et al. Anatomy of the superficial fascia system of the breast: a comprehensive theory of breast fascial anatomy. Plast Reconstr Surg, 2018, 142(5):1135-1144.
4. Pusic AL, Klassen AF, Scott AM, et al. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg, 2009, 124(2): 345-353.
5. Cano SJ, Klassen AF, Scott AM, et al. The BREAST-Q: further validation in independent clinical samples. Plast Reconstr Surg, 2012, 129(2): 293-302.
6. Yan H, Gao P, Kong X, et al. Study on short-term cosmetic effects and quality of life after breast cancer modified radical mastectomy combined with one-stage prosthesis implantation. J Cancer Res Ther, 2022, 18(7): 1988-1993.
7. 修秉虬, 郭瑢, 杨犇龙, 等. 中国乳腺癌术后乳房重建手术横断面调查研究. 中华肿瘤杂志, 2019, 41(7): 546-551.
8. Ostapenko E, Nixdorf L, Devyatko Y, et al. Prepectoral versus subpectoral implant-based breast reconstruction: a systemic review and meta-analysis. Ann Surg Oncol, 2023, 30(1): 126-136.
9. Salibian AH, Harness JK. Oncologic safety of staged prepectoral implant reconstruction following nipple-sparing mastectomy: a mean 9-year follow-up. Plast Reconstr Surg, 2022, 150(3): 513-522.
10. Scardina L, Di Leone A, Biondi E, et al. Prepectoral vs. submuscular immediate breast reconstruction in patients undergoing mastectomy after neoadjuvant chemotherapy: our early experience. J Pers Med, 2022, 12(9): 1533. doi: 10.3390/jpm12091533.
11. Long C, Kraenzlin F, Aravind P, et al. Prepectoral breast reconstruction is safe in the setting of post-mastectomy radiation therapy. J Plast Reconstr Aesthet Surg, 2022, 75(9): 3041-3047.
12. Holland M, Su P, Piper M, et al. Prepectoral breast reconstruction reduces opioid consumption and pain after mastectomy: a head-to-head comparison with submuscular reconstruction. Ann Plast Surg, 2022, 89(5): 492-499.
13. Ching AH, Lim K, Sze PW, et al. Quality of life, pain of prepectoral and subpectoral implant-based breast reconstruction with a discussion on cost: a systematic review and meta-analysis. J Plast Reconstr Aesthet Surg, 2022, 75(8): 2550-2560.
14. Silva J, Carvalho F, Marques M. Direct-to-implant subcutaneous breast reconstruction: a systematic review of complications and patient’s quality of life. Aesthetic Plast Surg, 2023, 47(1): 92-105.
15. Harvey KL, Sinai P, Mills N, et al. Short-term safety outcomes of mastectomy and immediate prepectoral implant-based breast reconstruction: Pre-BRA prospective multicentre cohort study. Br J Surg, 2022, 109(6): 530-538.
16. Bekisz JM, Salibian AA, Frey JD, et al. Picking the right plane: a comparison of total submuscular, dual-plane, and prepectoral implant-based breast reconstruction. Plast Reconstr Surg, 2022, 150(4): 737e-746e.
17. Urban C, González E, Fornazari A, et al. Prepectoral direct-to-implant breast reconstruction without placement of acellular dermal matrix or mesh after nipple-sparing mastectomy. Plast Reconstr Surg, 2022, 150(5): 973-983.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Study on advantages and feasibility of cricoid breast ligament in anterior breast muscle prosthesis implantation after breast cancer surgery

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