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Erschienen in:
21.03.2022 | Surgical Techniques and Innovations
A Modification of the Standard Grisotti Flap
Erschienen in: Indian Journal of Surgery | Ausgabe 1/2023
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The inception of breast conservation surgery together with advances in oncoplastic techniques has transformed the management of retro areolar breast tumours. Cancers in this location were conventionally managed with central excision and primary closure or mastectomy. Lately, oncoplastic breast-conserving techniques such as the Grisotti mammoplasty have been increasingly encouraged as an alternative option as it allows oncological safe margin resections while restoring cosmesis. The use of a Grisotti flap allows for safe resection of a retro areolar tumour with the simultaneous reconstruction of the defect using a local rotational advancement dermoglandular flap allowing acceptable results in terms of aesthesis, contour and projection. The most common issues with the standard Grisotti were skin puckering and NAC asymmetry.
We describe that a modification of the standard Grisotti flap is made such that it gives a fuller and ptotic lower pole appearance, avoiding both skin puckering of the tissues or skin, as well as any mismatch in the normal NAC (nipple-areola complex) size.
This study discusses Andrea Grisotti’s original advancement-rotation flap and provides a technical modification made in our breast unit that aids wound closure and may improve the final aesthetic result of this operation.