Foustanos Andreas, Zavrides Harris
Plastic Surgery Department, Iaso Hospital, 37-39, Kifisias Avenue, 151 23 Maroussi, Athens, Greece.
J Plast Reconstr Aesthet Surg. 2007;60(5):529-35. doi: 10.1016/j.bjps.2006.11.019. Epub 2007 Jan 31.
This article presents our experience in delayed breast reconstruction, using a combination of latissimus dorsi muscle flap (LDMF) and tissue expander with embodiment injection site, in a two-stage approach. A consecutive sample of 50 patients was studied. The average length of follow up was 4 years (range 12-72 months). In all patients the above two-stage approach was performed. The results are encouraging. Using LDMF and tissue expansion for delayed breast reconstruction has proven to be useful. This approach provides sufficient muscular coverage of the implant. The level of patient satisfaction is high. Major complications are rare. The minor complications are represented mainly by the dorsal seroma. The technique with LDMF has been improved substantially during the past few years. In our experience, it provides the plastic surgeon with an excellent, safe and consistently successful method for delayed breast reconstruction.
本文介绍了我们采用背阔肌肌皮瓣（LDMF）和组织扩张器结合并确定注射部位，分两阶段进行延迟性乳房重建的经验。对连续的50例患者样本进行了研究。平均随访时间为4年（范围12 - 72个月）。所有患者均采用上述两阶段方法。结果令人鼓舞。使用LDMF和组织扩张进行延迟性乳房重建已被证明是有效的。这种方法为植入物提供了足够的肌肉覆盖。患者满意度较高。主要并发症罕见。轻微并发症主要表现为背部血清肿。在过去几年中，LDMF技术有了显著改进。根据我们的经验，它为整形外科医生提供了一种出色、安全且始终成功的延迟性乳房重建方法。
