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Revisiting Y-Shaped Closure Technique to Prevent the Dog Ear Formation in Women Undergoing Mastectomy

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Mastectomy is the commonest surgery performed by surgical oncologists and breast surgeons for carcinoma breast. Among the complications of mastectomy, lateral skin-folds or Bdog ears^ is one of the most… Click to show full abstract

Mastectomy is the commonest surgery performed by surgical oncologists and breast surgeons for carcinoma breast. Among the complications of mastectomy, lateral skin-folds or Bdog ears^ is one of the most common and annoying problems. Not only it causes significant discomfort to the patient, but also is unsightly to look at. The lateral Bdog ears^ hangs over the top of the undergarments causing disfigurement and acts as a hindrance to movements of the ipsilateral arm. Even seemingly small dog ears should also be corrected during primary surgery as such dog ears become more evident when patients stand as compared to while the patient is supine intraoperatively. Skin closure can be particularly challenging in patients with large body habitus. We revisit Y-technique of closure following mastectomy initially described in the late 1980s primarily used to eliminate lateral Bdog ears.^ We have used this technique in two patients and described the same in this paper with an overview of other techniques.

Keywords: technique; revisiting shaped; closure; bdog ears; mastectomy; dog

Journal Title: Indian Journal of Surgical Oncology
Year Published: 2018

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