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CC BY 4.0 · Arch Plast Surg 2023; 50(06): 550-556
DOI: 10.1055/a-2121-7560
Breast/Trunk
Case Report

Breast Reconstruction after Blunt Breast Trauma: Systematic Review and Case Report Using the Ribeiro Technique

Horacio F. Mayer 
1   Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, Hospital Italiano de Buenos Aires University Institute, Buenos Aires, Argentina
,
René M. Palacios Huatuco 
1   Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, Hospital Italiano de Buenos Aires University Institute, Buenos Aires, Argentina
,
Mariano F. Ramírez 
1   Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, Hospital Italiano de Buenos Aires University Institute, Buenos Aires, Argentina
,
Ignacio T. Piedra Buena 
1   Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, Hospital Italiano de Buenos Aires University Institute, Buenos Aires, Argentina
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Abstract

Blunt breast trauma occurs in 2% of blunt chest injuries. This study aimed to evaluate the evidence on breast reconstruction after blunt trauma associated with the use of a seat belt. Also, we describe the first case of breast reconstruction using the Ribeiro technique. In November 2022, a systematic search of MEDLINE, EMBASE, and Google Scholar databases was conducted. The literature was screened independently by two reviewers, and the data was extracted. Our search terms included breast, mammoplasty, blunt injury, and seat belts. In addition, we present the case of a woman with a left breast deformity and her reconstruction using the inferior Ribeiro flap technique. Six articles were included. All included studies were published between 2010 and 2021. The studies recruited seven patients. According to the Teo and Song classification, seven class 2b cases were reported. In five cases a breast reduction was performed in the deformed breast with different types of pedicles (three superomedial flaps, one lower flap, one superior flap). Only one case presented complications. The case here presented was a type 2b breast deformity in which the lower Ribeiro pedicle was used successfully without complications during follow-up. Until now there has been no consensus on reconstructive treatment due to the rarity of this entity. However, we must consider surgical treatment individually for each patient. We believe that the Ribeiro technique is a feasible and safe alternative in the treatment of posttraumatic breast deformities, offering very good long-term results.

Keywords

blunt injury - breast reconstruction - traffic accident - seat belts

Authors' Contributions

R.M.P.H. and M.F.R. drafted the manuscript. I.T.P.B. and H.F.M. supervised the writing of the manuscript. I.T.P.B. and H.F.M. performed perioperative management and operation of the patient. All authors read and approved the final manuscript.


Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The local research ethics committee has confirmed that no ethical approval is required for case reports.


Patient Consent

Patient signed informed consent regarding publishing her data and photographs.




Publication History

Received: 26 November 2022

Accepted: 15 June 2023

Accepted Manuscript online:
03 July 2023

Article published online:
30 November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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