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Oncoplastic breast surgery to prevent “Bird’s beak” deformity in the breast: a comparative retrospective study

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Abstract

Purposes

Breast deformity occurring in the lower pole after breast conserving surgery (BCS) is known as bird’s beak (BB) deformity. This retrospective study evaluated the outcomes in breasts reconstructed with a conventional closing procedure (CCP) and a downward-moving procedure (DMP), respectively, after BCS.

Methods

In CCP, the inferomedial and inferolateral portions of breast tissues were reapproximated toward the midline after wide excision to repair the breast defect. In DMP, the retro-areolar breast tissue was detached from the nipple–areolar complex after wide excision, and the upper pole breast tissue was moved downward to refill the breast defect.

Results

CCP was performed in 20 patients (Group A), and DMP was performed in 28 patients (Group B). Although retraction of the lower part of the breast was postoperatively observed in 13 (72%) of 18 patients from Group A, it was observed in 7 (28%) of 25 patients in Group B (p < 0.05). The downward pointing of the nipple was observed in 8 (44%) of 18 patients from Group A and in 4 (16%) of 25 patients in Group B (p < 0.05).

Conclusions

DMP is more useful for preventing BB deformity than CCP.

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Data availability

The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors declare they have no conflicts of interest. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Breast and Endocrine Surgery, Kanazawa Medical University Hospital, Daigaku 1-1, Uchinada-Kahoku, Ishikawa, 920-0293, Japan

    Masakuni Noguchi, Emi Morioka, Miki Yokoi-Noguchi, Yusuke Haba & Masafumi Inokuchi

  2. Breast Center, Kanazawa Medical University Hospital, Daigaku 1-1, Uchinada-Kahoku, Ishikawa, Japan

    Masakuni Noguchi, Emi Morioka, Miki Yokoi-Noguchi, Yusuke Haba, Masafumi Inokuchi & Machiko Hisano

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  1. Masakuni Noguchi
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  2. Emi Morioka
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  3. Miki Yokoi-Noguchi
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  4. Yusuke Haba
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  5. Masafumi Inokuchi
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  6. Machiko Hisano
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Correspondence to Masakuni Noguchi.

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Noguchi, M., Morioka, E., Yokoi-Noguchi, M. et al. Oncoplastic breast surgery to prevent “Bird’s beak” deformity in the breast: a comparative retrospective study. Surg Today 54, 14–22 (2024). https://doi.org/10.1007/s00595-023-02690-0

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  • DOI: https://doi.org/10.1007/s00595-023-02690-0

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