既往保留皮肤的乳房切除术和即刻乳房重建后乳头重建的 C-V 皮瓣：供区关闭的改进。
The C-V flap for nipple reconstruction after previous skin-sparing mastectomy and immediate breast reconstruction: refinements of donor-site closure.
机构信息
Department of Plastic and Reconstructive Surgery, Birmingham City Hospital, Birmingham B18 7QH, UK.
出版信息
Aesthetic Plast Surg. 2011 Aug;35(4):624-7. doi: 10.1007/s00266-011-9658-3. Epub 2011 Feb 27.
BACKGROUND
The C-V flap including its modifications is very popular flap used for nipple reconstruction.
METHODS
This report describes a refinement of the C-V flap used in nipple reconstruction for patients who previously have undergone skin-sparing mastectomy and immediate breast reconstruction. Closure of the V flap donor sites is facilitated by means of designing two opposing advancement "areolar" skin flaps.
RESULTS
Our modification ensures that no "dog ears" remain after the donor sites of the two V flaps are closed and that all scarring remains within the skin paddle of the neo-areola without any extensions on the mastectomy skin flaps.
CONCLUSION
Our refinement of the closure for the donor site of the C-V flap used in nipple reconstruction produces an aesthetically pleasing result without unnecessary donor-site scar extensions on the mastectomy skin flaps.
背景
C-V 皮瓣及其改良形式是用于乳头重建的非常流行的皮瓣。
方法
本报告描述了一种改良的 C-V 皮瓣，用于重建先前接受过保留皮肤的乳房切除术和即刻乳房重建的患者的乳头。通过设计两个相对的推进“乳晕”皮瓣来促进 V 皮瓣供区的闭合。
结果
我们的改良方法确保在闭合两个 V 皮瓣的供区后没有“狗耳”残留，并且所有瘢痕都留在新乳晕的皮瓣内，而不在乳房切除术皮瓣上有任何延伸。
结论
我们对用于乳头重建的 C-V 皮瓣供区的闭合进行了改良，在乳房切除术皮瓣上没有不必要的供区瘢痕延伸，从而获得了美观的效果。
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