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Design of the Cyclops Flap for Chest-Wall Reconstruction

Hughes, Kent C. M.D.; Henry, Mitchell J. M.D.; Turner, Jennifer B.S.; Manders, Ernest K. M.D.

Plastic and Reconstructive Surgery: October 1997 - Volume 100 - Issue 5 - p 1146–1151
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The cyclops flap is a little-known but not forgotten alternative in chest-wall reconstruction for women. Female patients having a large, pendulous breast with a contralateral adjacent defect may be reconstructed by this technique. The flap derives its name from the repositioning of the remaining nipple to the center of the chest.

The design of the flap is described. By knowing the width and length of the defect, the surgeon can design incisions on the remaining breast tissue that will allow the flap to advance easily, reliably filling the defect. The flap is an axial-pattern flap nourished by the lateral thoracic artery and the variable external mammary artery. This arterial inflow will serve the medial portion of the flap.

The operation is straightforward and predictable. In using this design scheme three times in the last two years, there have been no complications. There is little discomfort after surgery. Occasionally, patients will benefit from this reconstructive option. (Plast. Reconstr. Surg. 100: 1146, 1997.)

Hershey, Pa.

From the Division of Plastic and Reconstructive Surgery at The Milton S. Hershey Medical Center and The Pennsylvania State University. Received for publication May 30, 1996; revised November 22, 1996.

Ernest K. Manders, M.D.

The Division of Plastic and Reconstructive Surgery

The Milton S. Hershey Medical Center

500 University Drive, P.O. Box 850

Hershey, Pa. 17033-0850

©1997American Society of Plastic Surgeons