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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]
Advantages and benefits
Disadvantages and risks
External links
References
- ^ a b Richardson, Heather; Ma, Grace (2012). "The Goldilocks mastectomy". International Journal of Surgery. 9 (10): 522–526. doi:10.1016/j.ijsu.2012.08.003.
- ^ Plastic Reconstruction Surgery: Goldilocks Mastectomy with Bilateral In Situ Nipple Preservation Via Dermal Pedicle (Heather Richardson, MD and Joel A. Aronowitz, MD, 2018)
- ^ PRS: Total Single-Stage Autologous Breast Reconstruction with Free Nipple Grafts (Jean-Claude D. Schwartz, MD, PhD and Piotr P. Skowronski, MD, 2015)
- ^ 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.
- ^ 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)
- ^ Ovid/Annals of Plastic Surgery: Moffitt Cancer Center Experience of Tissue Expander Breast Reconstruction: Does Acellular Dermal Matrix Increase Return to the Operating Room?
- ^ 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)
- ^ Asian Journal of Surgery: Goldilocks mastectomy for obese Japanese females with breast ptosis (Tomoko Ogawa, 2015)
- ^ 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)
- ^ 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)