Abstract
BackgroundImplant-based breast reconstruction (IBR) is the most common approach to reconstruct mastectomy deffects. Infection following breast reconstruction can be devastating and lead to loss of the reconstruction due to the need of implant removal. The serratus anterior muscle flap is widely used during breast reconstruction to provide coverage of the implant/expander. MethodsWe present the application of the serratus anterior muscle flap to treat implant exposure after breast reconstruction. Cases presentationTwo patients who experienced implant exposure after breast reconstruction were successfully treated with partial capsulectomy, pocket irrigation and implant coverage with a serratus anterior muscle flap. ResultsNo post operative complications have been observed while implant retention was achieved in both cases. ConclusionsThe serratus anterior muscle flap is an option to treat implant exposure following breast reconstruction in selected cases. This flap could be used to prevent implant exposure in critical cases.
Highlights
Implant based reconstruction is the most common approach for patients seeking reconstruction following mastectomy [1,2,3]
Patients experiencing implant exposure normally require implant removal followed by delayed reconstruction which can be challenging due to the presence of radiation therapy effects [7]
We extended the use in the setting of wound dehiscence to treat implant exposure
Summary
Implant-based breast reconstruction (IBR) is the most common approach to reconstruct mastectomy deffects. Infection following breast reconstruction can be devastating and lead to loss of the reconstruction due to the need of implant removal. The serratus anterior muscle flap is widely used during breast reconstruction to provide coverage of the implant/expander. METHODS: We present the application of the serratus anterior muscle flap to treat implant exposure after breast reconstruction. CASES PRESENTATION: Two patients who experienced implant exposure after breast reconstruction were successfully treated with partial capsulectomy, pocket irrigation and implant coverage with a serratus anterior muscle flap. CONCLUSIONS: The serratus anterior muscle flap is an option to treat implant exposure following breast reconstruction in selected cases. This flap could be used to prevent implant exposure in critical cases
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