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==Medical use==
==Medical use==
The Goldilocks mastectomy technique was first described in 2012 by the surgeons Heather Richardson and Grace Ma in the International Journal of Surgery.<ref name="IJS"/><ref name="APS">{{cite journal | last1 = Jaikel Zavala | first1 = Karina | last2 =Geun Kwon | first2 =Jin | last3 = Ho Han | first3 =Hyun | last4 = Key Kim | first4 =Eun | last5 =Sup Eom | first5 =Jin | year =2019 | title = The Goldilocks technique: An alternative method to construct a breast mound after prosthetic breast reconstruction failure| url = | journal = Archives of Plastic Surgery | volume = 46 | issue =5 | pages =475-479 | pmid = 31042862 | doi = 10.5999/aps.2018.00808 | pmc=6759440 }}</ref>It was first described as a surgical procedure to give women additional option to formal [[breast reconstruction]] after mastectomy. The procedure was first applied to some patients who did not qualify for traditional breast reconstruction methods because of medical complications such as history of [[radiation exposure]] from prior breast conservation treatment ([[lumpectomy]]) or due to the risks associated with high [[body mass index]] or because of personal preference.The method is mostly intended for patients with [[macromastia]] or [[ptosis]] as it presumes having redundant cutaneous flaps and applies preservation of de-epithelialized tissue technique.<ref name="ncbi">[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505857/ International Open Access Journal of the American Society of Plastic Surgeons: Goldilocks Mastectomy: A Safe Bridge to Implant-Based Breast Reconstruction in the Morbidly Obese (Jean-Claude Schwartz, 2017)]</ref><ref>[https://insights.ovid.com/crossref?an=00000637-201806006-00013 Ovid/Annals of Plastic Surgery: Moffitt Cancer Center Experience of Tissue Expander Breast Reconstruction: Does Acellular Dermal Matrix Increase Return to the Operating Room?]</ref> <ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293299/ Journal of the American Society of Plastic Surgeons: Partial Breast Reconstruction with Goldilocks Technique After Excision of Giant Fibroadenoma: A Case Report (Ryan P. Ter Louw, MD,* Sara B. Bruce, MD,† and Maurice Y. Nahabedian, 2017)]</ref><ref name="AJS">[https://www.sciencedirect.com/science/article/pii/S1015958413000602?via%3Dihub Asian Journal of Surgery: Goldilocks mastectomy for obese Japanese females with breast ptosis (Tomoko Ogawa, 2015)]</ref><ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925445/ International Journal of Surgery: Case report of a definitive autologous reconstruction in a patient requiring immediate postoperative anticoagulation and reduced operative time (Jean-Claude Schwartza and Piotr P. Skowronsk, 2016)]</ref><ref>[https://onlinelibrary.wiley.com/doi/abs/10.1111/tbj.12737 Wiley Online Library: Extending the Indications for Autologous Breast Reconstruction Using a Two‐Stage Modified Goldilocks Procedure: A Case Report (Jean‐Claude D. Schwartz MD, PhD; Piotr P. Skowronksi MD., 2016)]</ref> According to the ''Archives of Plastic Surgery'', "..Goldilocks mastectomy can also be used as secondary operation after initial failing in formal breast reconstruction..."<ref name="APS"/>
The Goldilocks mastectomy technique was first described in 2012 by the surgeons Heather Richardson and Grace Ma in the International Journal of Surgery.<ref name="IJS"/><ref name="APS">{{cite journal | last1 = Jaikel Zavala | first1 = Karina | last2 =Geun Kwon | first2 =Jin | last3 = Ho Han | first3 =Hyun | last4 = Key Kim | first4 =Eun | last5 =Sup Eom | first5 =Jin | year =2019 | title = The Goldilocks technique: An alternative method to construct a breast mound after prosthetic breast reconstruction failure| url = | journal = Archives of Plastic Surgery | volume = 46 | issue =5 | pages =475-479 | pmid = 31042862 | doi = 10.5999/aps.2018.00808 | pmc=6759440 }}</ref>It was first described as a surgical procedure to give women additional option to formal [[breast reconstruction]] after mastectomy. The procedure was first applied to some patients who did not qualify for traditional breast reconstruction methods because of medical complications such as history of [[radiation exposure]] from prior breast conservation treatment ([[lumpectomy]]) or due to the risks associated with high [[body mass index]] or because of personal preference.The method is mostly intended for patients with [[macromastia]] or [[ptosis]] as it presumes having redundant cutaneous flaps and applies preservation of de-epithelialized tissue technique.<ref name="ncbi">[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505857/ International Open Access Journal of the American Society of Plastic Surgeons: Goldilocks Mastectomy: A Safe Bridge to Implant-Based Breast Reconstruction in the Morbidly Obese (Jean-Claude Schwartz, 2017)]</ref><ref>[https://insights.ovid.com/crossref?an=00000637-201806006-00013 Ovid/Annals of Plastic Surgery: Moffitt Cancer Center Experience of Tissue Expander Breast Reconstruction: Does Acellular Dermal Matrix Increase Return to the Operating Room?]</ref> <ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293299/ Journal of the American Society of Plastic Surgeons: Partial Breast Reconstruction with Goldilocks Technique After Excision of Giant Fibroadenoma: A Case Report (Ryan P. Ter Louw, MD,* Sara B. Bruce, MD,† and Maurice Y. Nahabedian, 2017)]</ref><ref name="AJS">[https://www.sciencedirect.com/science/article/pii/S1015958413000602?via%3Dihub Asian Journal of Surgery: Goldilocks mastectomy for obese Japanese females with breast ptosis (Tomoko Ogawa, 2015)]</ref><ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925445/ International Journal of Surgery: Case report of a definitive autologous reconstruction in a patient requiring immediate postoperative anticoagulation and reduced operative time (Jean-Claude Schwartza and Piotr P. Skowronsk, 2016)]</ref><ref>[https://onlinelibrary.wiley.com/doi/abs/10.1111/tbj.12737 Wiley Online Library: Extending the Indications for Autologous Breast Reconstruction Using a Two‐Stage Modified Goldilocks Procedure: A Case Report (Jean‐Claude D. Schwartz MD, PhD; Piotr P. Skowronksi MD., 2016)]</ref> According to the ''Archives of Plastic Surgery'', "..Goldilocks mastectomy can also be used as secondary operation after initial failing in formal breast reconstruction..."<ref name="APS"/> This technique provides patients with an option for post-mastectomy breast reconstruction alternative to simple mastectomy without reconstruction, complex autologous flap harvesting techniques, or the use of artificial implants.<ref name="IJS"/>


==Advantages and benefits==
==Advantages and benefits==

Revision as of 20:04, 21 February 2020

Goldilocks mastectomy is a type of surgical procedure for breast mound reconstruction using patient's autologous tissue without additional implants after the breast parenchyma has been removed for treatment of disease or prophylaxis. The procedure is an alternative approach to full breast reconstruction after mastectomy for women with breast cancer condition (or predisposed to it).[1][2][3]

Medical use

The Goldilocks mastectomy technique was first described in 2012 by the surgeons Heather Richardson and Grace Ma in the International Journal of Surgery.[1][4]It was first described as a surgical procedure to give women additional option to formal breast reconstruction after mastectomy. The procedure was first applied to some patients who did not qualify for traditional breast reconstruction methods because of medical complications such as history of radiation exposure from prior breast conservation treatment (lumpectomy) or due to the risks associated with high body mass index or because of personal preference.The method is mostly intended for patients with macromastia or ptosis as it presumes having redundant cutaneous flaps and applies preservation of de-epithelialized tissue technique.[5][6] [7][8][9][10] According to the Archives of Plastic Surgery, "..Goldilocks mastectomy can also be used as secondary operation after initial failing in formal breast reconstruction..."[4] This technique provides patients with an option for post-mastectomy breast reconstruction alternative to simple mastectomy without reconstruction, complex autologous flap harvesting techniques, or the use of artificial implants.[1]

Advantages and benefits

Disadvantages and risks

External links

References

  1. ^ a b c Richardson, Heather; Ma, Grace (2012). "The Goldilocks mastectomy". International Journal of Surgery. 9 (10): 522–526. doi:10.1016/j.ijsu.2012.08.003.
  2. ^ Plastic Reconstruction Surgery: Goldilocks Mastectomy with Bilateral In Situ Nipple Preservation Via Dermal Pedicle (Heather Richardson, MD and Joel A. Aronowitz, MD, 2018)
  3. ^ PRS: Total Single-Stage Autologous Breast Reconstruction with Free Nipple Grafts (Jean-Claude D. Schwartz, MD, PhD and Piotr P. Skowronski, MD, 2015)
  4. ^ a b Jaikel Zavala, Karina; Geun Kwon, Jin; Ho Han, Hyun; Key Kim, Eun; Sup Eom, Jin (2019). "The Goldilocks technique: An alternative method to construct a breast mound after prosthetic breast reconstruction failure". Archives of Plastic Surgery. 46 (5): 475–479. doi:10.5999/aps.2018.00808. PMC 6759440. PMID 31042862.
  5. ^ International Open Access Journal of the American Society of Plastic Surgeons: Goldilocks Mastectomy: A Safe Bridge to Implant-Based Breast Reconstruction in the Morbidly Obese (Jean-Claude Schwartz, 2017)
  6. ^ Ovid/Annals of Plastic Surgery: Moffitt Cancer Center Experience of Tissue Expander Breast Reconstruction: Does Acellular Dermal Matrix Increase Return to the Operating Room?
  7. ^ Journal of the American Society of Plastic Surgeons: Partial Breast Reconstruction with Goldilocks Technique After Excision of Giant Fibroadenoma: A Case Report (Ryan P. Ter Louw, MD,* Sara B. Bruce, MD,† and Maurice Y. Nahabedian, 2017)
  8. ^ Asian Journal of Surgery: Goldilocks mastectomy for obese Japanese females with breast ptosis (Tomoko Ogawa, 2015)
  9. ^ International Journal of Surgery: Case report of a definitive autologous reconstruction in a patient requiring immediate postoperative anticoagulation and reduced operative time (Jean-Claude Schwartza and Piotr P. Skowronsk, 2016)
  10. ^ Wiley Online Library: Extending the Indications for Autologous Breast Reconstruction Using a Two‐Stage Modified Goldilocks Procedure: A Case Report (Jean‐Claude D. Schwartz MD, PhD; Piotr P. Skowronksi MD., 2016)