Paddle Alenka M, Morrison Wayne A
Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, Melbourne, Victoria, Australia.
ANZ J Surg. 2010 Jan;80(1-2):71-4. doi: 10.1111/j.1445-2197.2009.05178.x.
With the use of the three-point lap-diagonal seat belt restraint, there has been a reduction in the number of deaths caused by automobile trauma. However, a new pattern of injury has emerged, the 'seat-belt syndrome', which comprises a constellation of injuries including soft tissue injury to the breast. Given that seat belt legislation is becoming more widespread, it is likely that the incidence and reporting of these injuries will become more common. In this paper, we provide an overview of the varied clinical and radiological presentations, and suggested management of seat belt injury to the female breast. The consequences of such injury can be severe in their functional, psychosocial and aesthetic impact, and thus, using an index case as an example, the previously unreported area of breast reconstruction in a breast deformed as a result of blunt trauma is discussed, highlighting some of its challenges.
使用三点式腰肩对角安全带约束装置后，因汽车创伤导致的死亡人数有所减少。然而，一种新的损伤模式——“安全带综合征”出现了，它包括一系列损伤，其中就有乳房软组织损伤。鉴于安全带立法正变得越来越普遍，这些损伤的发生率及报告可能会变得更加常见。在本文中，我们概述了女性乳房安全带损伤的各种临床和放射学表现，并提出了相应的处理建议。此类损伤在功能、心理社会及美学方面的影响可能很严重，因此，以一个索引病例为例，探讨了因钝性创伤导致乳房变形后乳房重建这一此前未被报道的领域，突出了其中的一些挑战。
