Comparison between Batwing versus Wise Pattern Mammoplasty for Upper Pole Breast Tumors

Abstract Background: Since the recorded time, breast has been a symbol for motherhood, fiminity, and sexuality, it has been portrayed throughout history in works of art symbolizing to all those aspects of woman's life. So breasts in female life are described as “life giving and life destroying”. Breast cancer existed in ancient times and reference to this disease can be found dating back as 3000 BC, in an Egyptian papyrus. Aim of Study: The Aim of this study is to compare between batwing mammoplasty and inferiorly based wise pattern therapeutic mammoplasty in management of upper pole breast tumors regarding cosmetic results, oncological outcomes, rate of complications and degree of satisfaction of the patients. Patients and Methods: Design: Study group: This study was conducted in Department of General Surgery Ain Shams University Hospitals, this is a prospective comparative study. The study included 40 women diagnosed with upper pole breast cancer. This study was done in Breast Surgery Unit, General Surgery Department at Ain Shams from July 1 st 2019 to July 1 st 2020. Sampling Method: Random controlled sampling study,after approval of the Ethical Committee, and informed consents were obtained from these patients they were enrolled in the study. Results: Our study includes 40 female patients were randomly categorized into 2 groups. Group A included patients who had inferiority based wise pattern mammoplasty (20 patients), while Group B included patients who had batwing mammoplasty (20 patients). Conclusion: In this study, we concluded that: Both tech-niques batwing mammoplasty and wise pattern therapeutic mammoplasty are valid options for upper pole breast tumors. Wise pattern therapeutic mammoplasty remains aesthetically superior; however, batwing mammoplasty is an easy, simple technique with acceptable results to patients. Recommendations: From this study, we could recommend: The decision of which surgical approach to be used for the oncoplastic procedure is heavily based on patient and tumor characteristics; the pre-operative evaluation should include examination for degree of ptosis, overall skin quality, evidence of prior radiation, and overall breast size; successful oncoplastic procedure begins with selecting the appropriate operation for a given patient, which takes into account a patient's unique breast anatomy (e.g., breast shape and degree of ptosis) and good understanding of tumor location and extent, as well as appreciation of the patient's goals; Mastectomy with recon-struction may provide a more aesthetically pleasing result than breast conservation surgery in the small to moderate-breasted woman; larger breasted women have more options available for reconstruction, whether it is local tissue rear-rangement, local or regional flaps, or reduction mammo-plasty/mastopexy; Batwing mammoplasty procedure achieve optimal results (i.e., breast contour and nipple projection) in patients with larger breast volume and a mild to moderate degree of breast ptosis; more studies on a large scale should be performed to assess the results of batwing mammoplasty and wise pattern therapeutic mammoplasty regarding compli-cation and cosmetic outcome for management of upper pole breast tumours.