预防性乳房切除术治疗小乳房后的乳房重建：带 Becker 35 可扩张植入物的胸大肌筋膜上蒂皮瓣。
Breast reconstruction following prophylactic mastectomy for smaller breasts: the superiorly based pectoralis fascial flap with the Becker 35 expandable implant.
机构信息
Department of Plastic Surgery, The Christie, Wilmslow Road, Manchester M20 4BX, UK.
出版信息
J Plast Reconstr Aesthet Surg. 2012 Jun;65(6):705-10. doi: 10.1016/j.bjps.2011.12.016. Epub 2012 Jan 9.
INTRODUCTION
Immediate reconstruction using tissue expander/implants following prophylactic mastectomy for smaller breasts is a reliable means of providing similar size, shape and symmetrical reconstructions. The superiorly based pectoralis fascial flap allows an immediate reconstruction of the inferior pole and may eliminate the need for tissue expansion.
METHODS
The superiorly based pectoralis fascial flap and implant was performed on 5 patients (10 breasts). The Becker 35 expandable implant was used in all cases and average size was 349 (range 290-400cc). Average age was 33 (range 21-43). The average BMI was 23 (range 20-26). One patient underwent further tissue expansion of the Becker 35 postoperatively. One patient developed a seroma in the abdominal fascial flap donor site that settled without the need for drainage. There were no other complications.
CONCLUSION
The superiorly based pectoralis fascial flap provides a one-stop reconstruction of the lower pole and can eliminate the need for tissue expansion in patients with small breasts.
简介
对于乳房较小的患者，在预防性乳房切除术后立即使用组织扩张器/植入物进行重建是提供相似大小、形状和对称性重建的可靠方法。基于胸肌筋膜的上蒂皮瓣可立即重建下极，并可能消除组织扩张的需要。
方法
5 名患者（10 个乳房）接受了基于胸肌筋膜的上蒂皮瓣和植入物的治疗。所有病例均使用 Becker 35 可扩张植入物，平均大小为 349（范围 290-400cc）。平均年龄为 33 岁（范围 21-43 岁）。平均 BMI 为 23（范围 20-26）。一名患者在术后对 Becker 35 进一步进行了组织扩张。一名患者在腹部筋膜瓣供区出现血清肿，但无需引流即自行消退。无其他并发症。
结论
基于胸肌筋膜的上蒂皮瓣可一站式重建下极，并可消除小乳房患者对组织扩张的需求。
Zotero 插件