GKT Cancer Reconstruction Service, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK.
J Plast Reconstr Aesthet Surg. 2010 Mar;63(3):e255-60. doi: 10.1016/j.bjps.2009.06.040. Epub 2009 Aug 13.
Breast reconstruction using autologous techniques has now become the gold standard. In recent years the focus has been on maintaining excellent cosmesis whilst minimising the incidence of partial or complete flap loss and donor site morbidity. However, an area which is frequently overlooked is the sequelae resulting from denervation of these flaps and their donor sites which can potentially lead to thermal injury. We report on six patients who sustained burns following free autologous breast reconstruction using either a DIEP or a muscle sparing TRAM. Four of the burns were confined to the flap skin paddle and two to the abdominal donor site. To prevent such thermal injuries all patients undergoing flap reconstruction should be educated regarding the vulnerability of the flap and its donor site as well as means of protecting these susceptible areas during daily activities.
使用自体技术进行乳房重建现在已成为金标准。近年来，重点一直放在保持良好的美容效果的同时，尽量减少部分或完全皮瓣丢失和供区发病率。然而，经常被忽视的一个领域是这些皮瓣及其供区去神经支配的后遗症，这可能导致热损伤。我们报告了 6 例接受游离自体乳房重建（DIEP 或保留肌肉的 TRAM）的患者发生烧伤的情况。其中 4 例烧伤局限于皮瓣皮瓣，2 例烧伤局限于腹部供区。为了防止这种热损伤，所有接受皮瓣重建的患者都应该接受有关皮瓣及其供区易感性的教育，以及在日常活动中保护这些易受影响区域的方法。
