Outcome of the Matrix Rotation Flap in Conservative Breast Surgeries.

Introduction: Achieving free margins and administering adjuvant radiation to the operated breast results in an
oncologic outcome that is comparable to a mastectomy. Combining superior aesthetics and oncological safety with
tumor removal with free margins is what oncoplastic breast conserving operations are all about.
Aim of work: Our study aimed to assess the safety and reliability of the matrix rotating flap. In difficult situations,
the breast can be preserved using this technique, which is usually described for the treatment of facial defects,16–22
with minor impact on breast size and usually without the need for contralateral breast summarization.
Patients and methods: Twenty patients who had breast-conserving surgery and immediate repair with a matrix
rotation flap participated in this study in the Surgical Oncology Unit, from January 2022 to June 2024.
Results: Patients were 54 years old on average when they were diagnosed. The mean removed breast weight
was 63.05 gm, and the average initial tumor size was 3.1 cm. Patients did not need to have their nipple-areola
complex symmetrical or repositioned. No local issues (Dehiscence of the wound). During follow-up that ranged
from 6 months to two years, no local recurrences or distant metastasis was reported. According to the Harris scale,
the cosmetic result was considered excellent in 25 % of cases, good in 50 %, fair in 18.75%, and poor in 6.25%.
Conclusion: We support that the matrix rotation flap is a safe and efficient method for treating upper/upper inner
malignancies. In addition to contralateral symmetry, good cosmetic outcomes, and acceptable oncological margins,
its complications rate is comparable to that of typical conservative surgery.