Ozgur F, Gokalan I, Mavili E, Erk Y, Kecik A
Department of Plastic and Reconstructive Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Burns. 1992 Dec;18(6):504-9. doi: 10.1016/0305-4179(92)90186-x.
Postburn breast deformity is a sequela of severe scar contraction of the burned chest. During the past 3 years, 24 female patients with such deformities required reconstruction, the surgery was performed in our department. These patients, the types of the deformities and the techniques used for reconstruction have been reviewed. For mild deformities (10 patients) reconstructions with skin grafts and local skin flaps were found to be satisfactory. For deformities which affected the mammary development (14 patients), mammary prostheses directly or under the soft tissue obtained by skin expansion or musculocutaneous flaps were used. In three of our patients, reduction mammaplasty or mastopexy was needed to symmetrize the breasts.
烧伤后乳房畸形是胸部烧伤严重瘢痕挛缩的后遗症。在过去3年中，24例患有此类畸形的女性患者需要进行重建手术，手术在我们科室进行。对这些患者、畸形类型及重建所采用的技术进行了回顾。对于轻度畸形（10例患者），发现采用植皮和局部皮瓣进行重建效果令人满意。对于影响乳房发育的畸形（14例患者），采用直接植入乳房假体或在通过皮肤扩张或肌皮瓣获得的软组织下植入乳房假体。在我们的3例患者中，需要进行乳房缩小术或乳房固定术以使乳房对称。
