The inframammary island flap: anatomical basis.

Bertelli, J A; do Valle Pereira, J F · Ann Plast Surg · 1994

case_report · Level V

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Abstract

The contribution of the thoracic internal artery to the breast's blood supply was studied in 24 fresh breasts. The second perforating artery was the largest in 20 breasts (86.3%). This artery supplies the upper portion of the breast, the nipple-areolar complex, and the subjacent anteromedial region. On the basis of these anatomical findings, we propose a new cutaneous island flap raised from the redundant skin that is normally discarded in reduction mammoplasty. The use of this flap is indicated in breast and thoracic wall reconstruction. A clinical case of such reconstruction is reported.

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