Department of Breast Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
J Breast Cancer. 2012 Dec;15(4):468-73. doi: 10.4048/jbc.2012.15.4.468. Epub 2012 Dec 31.
We introduce a method combining two oncoplastic techniques for breast-conserving reconstruction. The procedure is as follows: first, an extended glandular flap is made by undermining the breast from both the skin and the pectoralis fascia to the upper edge of the breast at the subclavicular area. After modeling the breast mound with the extended glandular flap, an inframammary adipofascial flap is made. The flap is reflected back to the breast area remodeled using the extended glandular flap. After reshaping the breast, the inframammary line is then re-shaped. This method is indicated for patients with breast cancer in the outer portion of the breast, who have small dense breasts, and have undergone a large excision of about 40% of their breast volume. We treated four patients, all of whom had either excellent or good cosmetic results with no fat necrosis.
我们介绍了一种结合两种肿瘤整形技术的保乳重建方法。手术步骤如下：首先，通过从皮肤和胸肌筋膜到胸锁乳突肌区域的乳房上缘，向乳房下方进行潜行剥离，制作一个扩展的腺体皮瓣。用扩展的腺体皮瓣塑造乳房丘后，制作一个乳房下脂肪筋膜皮瓣。将皮瓣向后翻转至用扩展腺体皮瓣重塑的乳房区域。乳房重塑后，重新塑造乳晕。该方法适用于乳房外象限乳腺癌患者，乳房较小且致密，乳房切除量约为 40%的患者。我们治疗了 4 名患者，所有患者均获得了极佳或良好的美容效果，且无脂肪坏死。
