English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Tools annual

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Presents the access of premium content as premium feature

Premium Content

Global: Zendy Plus annual

Global: Zendy Free Plan

123 Tumours in the retro areolar region of the breast have traditionally been managed by mastectomy. Although the criteria for breast conserving surgery are relative, proximity to the nipple-areolar complex usually mandates complete mastectomy. Close collaboration between oncological and plastic surgical teams may in some circumstances broaden the scope for breast conservation. Techniques of oncoplastic surgery permit excision of larger volumes of surrounding normal breast tissue which increases the chance of microscopic clearance with tumour free margins and improved local control rates. Furthermore, such techniques lead to sustained optimum cosmetic results in the longer term and improvements in psychological morbidity. An alternative method for managing tumours in the retro areolar region of the breast with avoidance of mastectomy was reported by Dr Andrea Grisotti more than 10 years ago [1]. This involves a central resection which encompasses both the nipple-areolar complex and the tumour. The resulting defect is replaced by advancement and rotation of a dermo glandular pedicle which provides volume replacement and creation of a new nipple-areolar complex [2]. This technique can yield excellent cosmetic results and avoids mastectomy in selected patients. This paper outlines the original advancement-rotation fl ap attributable to Andrea Grisotti and describes a technical modifi cation introduced in our Breast Unit, which facilitates wound closure and may well improve the fi nal cosmetic outcome of this procedure.

Oncoplastic surgery for retro areolar breast cancer — a technical modification of the Grisotti flap