Mermans Joline F, Tuinder Stefania, von Meyenfeldt Maarten F, van der Hulst Rene R W J
Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre, Maastricht, Netherlands.
Undersea Hyperb Med. 2012 May-Jun;39(3):719-23.
The rate of complications in immediate breast reconstruction is in 15% to 20% due to partial loss of the mastectomy skin flaps. In the case of skin necrosis or ischemia, a therapy that reduces skin loss could be of additional benefit. Hyperbaric oxygen has been used to treat compromised flaps and grafts, an indication recognized and reimbursed according to the Undersea and Hyperbaric Medical Society (UHMS). So far, hyperbaric oxygen has not been previously reported as therapy for full-thickness breast skin flap necrosis on patients with a direct reconstruction with silicone implants after a skin-sparing mastectomy. This report presents such a case, in which a 52-year-old woman carrier of the BRCA2 mutation gene was successfully treated with hyperbaric oxygen therapy.
由于乳房切除皮瓣部分丢失，即刻乳房重建的并发症发生率为15%至20%。在皮肤坏死或缺血的情况下，减少皮肤损失的治疗可能会带来额外益处。高压氧已被用于治疗受损的皮瓣和移植物，这是根据水下和高压氧医学协会（UHMS）认可并报销的适应症。到目前为止，尚未有关于保乳皮肤切除术后直接使用硅胶植入物进行重建的患者全层乳房皮瓣坏死采用高压氧治疗的报道。本报告介绍了这样一个病例，一名携带BRCA2突变基因的52岁女性通过高压氧治疗获得成功。
