Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria.
Aesthetic Plast Surg. 2011 Oct;35(5):928-32. doi: 10.1007/s00266-011-9697-9. Epub 2011 Apr 1.
Pectus excavatum deformity is the most frequent congenital anomaly of the thoracic wall. If the invasive surgical procedures of thoracoplasty are not indicated or the patient refuses them, alternative treatment options should be considered. In such cases, local or distant transposition of autologous tissue could be appropriate. This report presents a selected case of funnel chest deformity and concomitant unilateral breast hyperplasia. Both deformities were corrected simultaneously using a pedicled internal mammary artery perforator (IMAP) flap dissected from the hyperplastic breast. This is a safe, reliable, low-morbidity, one-stage option for adult women that uses an easy-to-harvest flap for simultaneous correction of mild funnel chest deformity and concomitant breast hyperplasia with a single resulting scar.
漏斗胸畸形是最常见的胸壁先天性畸形。如果不适合进行胸廓切开术的侵入性手术，或者患者拒绝手术，那么应该考虑其他替代治疗方案。在这种情况下，局部或远处的自体组织转移可能是合适的。本报告介绍了一例选择性漏斗胸畸形伴单侧乳腺增生的病例。两种畸形均采用从增生乳房中分离出的带蒂内乳动脉穿支（IMAP）皮瓣同时矫正。对于成年女性，这是一种安全、可靠、低并发症的一期手术选择，使用易于获取的皮瓣，可同时矫正轻度漏斗胸畸形和伴发的乳腺增生，且仅留下单一的疤痕。
