Revista Brasileira de Cancerologia (Jun 2024)

Atypical Breast Reconstruction Case: Report of the Use of Rectus Abdominis Myocutaneous Flap for Deformity Treatment in Major Pectoral Flap Donor Area

  • Julia Gabriela Oliveira Marchiori,
  • Bruno Guilherme Zampiri de Pieri ,
  • Alfredo Benjamim Duarte da Silva ,
  • Anne Karoline Groth

DOI
https://doi.org/10.32635/2176-9745.RBC.2024v70n2.4708
Journal volume & issue
Vol. 70, no. 2

Abstract

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Introduction: Even with the advent of microsurgical techniques, the pedicled pectoralis major myocutaneous flap (MMF) still has considerable importance in head and neck reconstructions. However, its utilization is quite challenging especially in women. Case report: Female patient, 38 years-old sought medical attention due to a left cervical mass of progressive growth. After investigation with nuclear magnetic resonance imaging, radical cervical emptying was indicated, requiring immediate reconstruction with MMF. Subsequently, the patient returned complaining of asymmetry on the breasts and the volume of the cervical flap and a new surgical approach was performed by the plastic surgery team, where the left breast was reconstructed with a transverse rectus abdominis myocutaneous (TRAM) flap, and the MMF was thinned. Conclusion: The MMF should be used sparingly in women since resulting dysmorphisms often require surgical re-administration for reconstruction. Therefore, it is preferable to use free flaps as a first option.

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