Zeidler Kamakshi R, Son Ji H, Carey Joseph N, Watt Andrew J, Ho Oscar H, Lee Gordon K
From the Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA.
Ann Plast Surg. 2013 Apr;70(4):438-41. doi: 10.1097/SAP.0b013e31828a0c80.
The transverse tensor fascia lata (TTFL) flap is an important alternative flap for autologous breast reconstruction. It is a horizontal variant of the tensor fascia lata myocutaneous flap and contains fat from the prominence of the upper lateral thigh (saddle bag). We present the surgical management of a woman with trochanteric lipodystrophy, who underwent staged bilateral mastectomy and autologous breast reconstruction with TTFL flaps. We discuss technical points in TTFL flap design and harvest. Breast reconstruction was successful and the thigh donor sites had excellent aesthetic contour. There were no complications at either recipient or donor sites. The TTFL flap is an important alternative flap for autologous breast reconstruction when other options are less optimal, and has a secondary benefit of thigh donor site closure with lateral thigh lift techniques. The TTFL flap should be presented as an option for autologous breast reconstruction in women with prominent trochanteric lipodystrophy of the upper lateral thighs.
阔筋膜张肌横向张量皮瓣（TTFL皮瓣）是自体乳房重建的一种重要替代皮瓣。它是阔筋膜张肌肌皮瓣的一种水平变体，包含来自大腿上外侧突出部位（“马鞍袋”）的脂肪。我们介绍了一名患有转子部脂肪营养不良的女性的手术治疗情况，该患者接受了分期双侧乳房切除术，并采用TTFL皮瓣进行自体乳房重建。我们讨论了TTFL皮瓣设计和切取的技术要点。乳房重建成功，大腿供区的美学轮廓良好。受区和供区均未出现并发症。当其他选择不太理想时，TTFL皮瓣是自体乳房重建的一种重要替代皮瓣，并且通过大腿外侧提升技术关闭大腿供区还有额外益处。对于大腿上外侧转子部脂肪营养不良明显的女性，TTFL皮瓣应作为自体乳房重建的一种选择。
