游离腹直肌肌皮瓣的二期塑形：一种下蒂缩窄乳房成形术。

Secondary shaping of the free TRAM: an inferior pedicle reduction mammaplasty.

作者信息

Farace F, Rubino C, Posadinu A, Pittalis E, Campus G V

机构信息

Plastic Surgery-Burn Unit Department, University of Sassari, Sassari, Italy.

出版信息

J Plast Reconstr Aesthet Surg. 2008;61(2):204-6. doi: 10.1016/j.bjps.2007.02.031. Epub 2007 Jul 26.

DOI:10.1016/j.bjps.2007.02.031

PMID:17656170

Abstract

Secondary shaping of the transverse rectus abdominis myocutaneous (TRAM) flap is a routine treatment, and includes liposuction, skin excision, inframammary fold replacement, dermal fat grafts or lipofilling. Major flap revision may include an augmentation procedure with implants or expanders. We present an inferior pedicle breast reduction in a woman who underwent breast reconstruction using a free TRAM flap. To our knowledge, there are no reports about reduction mammaplasty or mastopexy in Free TRAM flap breast reconstruction. Reduction mammaplasty should be regarded as a valuable option in free TRAM or deep inferior epigastric perforator secondary reshaping.

摘要

横行腹直肌肌皮瓣（TRAM瓣）的二期塑形是一种常规治疗方法，包括抽脂、皮肤切除、乳房下皱襞修复、真皮脂肪移植或脂肪填充。主要的皮瓣修复可能包括使用植入物或扩张器的增大手术。我们报告了一例使用游离TRAM瓣进行乳房重建的女性患者接受下蒂乳房缩小术的情况。据我们所知，尚无关于游离TRAM瓣乳房重建中乳房缩小术或乳房固定术的报道。乳房缩小术应被视为游离TRAM瓣或腹壁下深动脉穿支瓣二期重塑的一种有价值的选择。