Gold A H
Long Island Plastic Surgical Group, P.C., Garden City, NY.
Ann Plast Surg. 1992 Jun;28(6):516-25.
An improved and simplified postmastectomy reconstruction by tissue expansion is presented. Utilizing a uniquely designed matched tissue expander and prosthesis, the technique is based on an elliptical concept of breast shape and corresponding volumetric relationships and permits controlled expansion of the lower chest skin. Horizontal and vertical base dimensions and the volume of the contralateral breast are used to determine the size and volume of the appropriate elliptically shaped tissue expander and, subsequently, of the mammary implant. This approach permits surgeons to achieve symmetry more readily by matching the implant to the patient, rather than the patient to the implant.
本文介绍了一种通过组织扩张进行改良和简化的乳房切除术后重建方法。该技术采用独特设计的匹配组织扩张器和假体，基于乳房形状的椭圆形概念以及相应的体积关系，可控制下胸部皮肤的扩张。利用对侧乳房的水平和垂直基底尺寸以及体积来确定合适的椭圆形组织扩张器的大小和体积，进而确定乳房植入物的大小和体积。这种方法使外科医生能够通过使植入物与患者相匹配，而不是让患者去适应植入物，从而更轻松地实现对称性。
