Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Correlation of Breast Tissue Density and Body Mass Index

유방조직의 밀도와 체질량지수와의 상관관계

  • Yang, Jung-Hak (Asan Medical Center, Department of Plastic Surgery, University of Ulsan, College of Medicine) ;
  • Lee, Taik-Jong (Asan Medical Center, Department of Plastic Surgery, University of Ulsan, College of Medicine)
  • 양정학 (울산대학교 의과대학 성형외과학교실) ;
  • 이택종 (울산대학교 의과대학 성형외과학교실)
  • Received : 2010.02.01
  • Accepted : 2010.07.12
  • Published : 2010.11.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: In performing breast reconstruction, making symmetrical breast is still a challenge. A precise estimate of the volume of the breast specimen is necessary to reconstruct a symmetrical and aesthetically pleasing breast. This study aims at finding out the relationship with breast tissue density and body mass index designed to apply for breast reconstruction. Methods: By using the Archimedes' principle, the authors calculated the volume of the breast specimen and drew a correlation between the density of breast specimen and BMI. From October 2002 to November 2004, this method was used on 197 patients to predict breast volume for TRAM flap reconstruction. Results: The mean density was 0.9954g/cc and had no correlation with BMI (p-value=0.069). There was no difference between denstiy of breast tissue after skin spared mastectomy and that of breast tissue after nipple spared mastectomy. Conclusion: These data will be helpful to predict the needed volume for breast reconstruction.

Keywords

References

  1. Germann G, Steinau HU: Breast reconstruction with the extended latissimus dorsi flap. Plast Reconstr Surg 97: 519, 1996 https://doi.org/10.1097/00006534-199603000-00004
  2. Hartrampf CR Jr, Noel RT, Drazan L, Elliott FL, Bennett GK, Beegle PH: Rubens's fat pad for breast reconstruction: a peri-iliac soft-tissue free flap. Plast Reconstr Surg 93: 402, 1994 https://doi.org/10.1097/00006534-199402000-00030
  3. Allen RJ, Treece P: Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg 32: 32, 1994 https://doi.org/10.1097/00000637-199401000-00007
  4. DellaCroce FJ, Sullivan SK: Application and refinement of the superior gluteal artery perforator free flap for bilateral simultaneous breast reconstruction. Plast Reconstr Surg 116: 97, 2005
  5. Clough KB, Nos C, Salmon RJ, Soussaline M, Durand JC: Conservative treatment of breast cancer by mammaplasty and irradiation: a new approach to lower quadrant tumors. Plast Reconstr Surg 96: 363, 1995 https://doi.org/10.1097/00006534-199508000-00015
  6. McCarthy CM, Pusic AL, Sclafani L, Buchanan C, Fey JV, Disa JJ, Mehrara BJ, Cordeiro PG: Breast cancer recurrence following prosthetic, postmastectomy reconstruction: incidence, detection, and treatment. Plast Reconstr Surg 121: 381, 2008 https://doi.org/10.1097/01.prs.0000298316.74743.dd
  7. Bouman FG: Volumetric measurement of the human breast and breast tissue before and during mammoplasty. Br J Plast Surg 23: 263, 1970 https://doi.org/10.1016/S0007-1226(70)80053-4
  8. Tegtmeier RE: A quick accurate mammometer. Ann Plast Surg 1: 625, 1978 https://doi.org/10.1097/00000637-197811000-00016
  9. Ellenbogen R: A new device to assist in sizing breasts. Ann Plast Surg 1: 333, 1978 https://doi.org/10.1097/00000637-197805000-00018
  10. Shamoun JM, Hartrampf CR: Mastectomy specimen weight and skin dimensions as an adjunt in breast reconstruction. Ann Plast Surg 36: 251, 1996 https://doi.org/10.1097/00000637-199603000-00004
  11. Amir A, Silfen R, Hauben DJ: Use of Archmedes' law for measuring the volume of the TRAM flap in immediate breast reconstruction. Plast Reconstr Surg 103: 1329, 1999
  12. Chang KP, Lin SD, Hou MF, Lee SS, Tsai CC: Measurement of the volume of the pedicled TRAM flap in immediate breast reconstruction. Ann Plast Surg 47: 594, 2001 https://doi.org/10.1097/00000637-200112000-00002
  13. Aslan G, Terzioglu A, Tuncali D, Bingul F: Breast reduction: weight versus volume. Plast Reconstr Surg 112: 339, 2003
  14. Lejour M: Evaluation of fat in breast tissue removed by vertical mammaplasty. Plast Reconstr Surg 99: 386, 1997 https://doi.org/10.1097/00006534-199702000-00012