2023 Volume 8 Issue 2 Pages 71-81
Rotation flap with the application of Burow's triangle is a step 2-② procedure of OPBCS volume displacement. This surgical procedure is composed of two isosceles triangles with equal base length on the skin above the breast tumor and the axilla, and a gently curving line that connects the bases of the two triangles. This technique enables physicians to conduct volume displacement after breast-conserving surgery for comparatively large tumors located in lower-pole or upper-inner areas, which are generally known to cause deformity, by means of rotation of adjacent breast matrix without extensive dual-plane undermining. Addition of nipple-areolar recentralization to rotation flap as a key-hole design expands the indication of rotation flap for tumors near the nipple. Rotation flap with the application of Burow's triangle, which involves concise pre-operative designing and harbors a low risk of post-operative fat necrosis, is one of the most accessible volume displacement techniques for the majority of general breast surgeons ; however, its surgical scar is long.
