Thomsen Jørn Bo, Bille Camilla, Wamberg Peter, Jakobsen Erik H, Arffmann Susanne
Department of Plastic Surgery, Vejle Hospital/Odense University Hospital , Vejle , Denmark.
J Plast Surg Hand Surg. 2013 Oct;47(5):379-82. doi: 10.3109/2000656X.2013.770401. Epub 2013 May 28.
The aim of this study was to examine if a propeller thoracodorsal artery perforator (TAP) flap can be used for breast reconstruction. Fifteen women were reconstructed using a propeller TAP flap, an implant, and an ADM. Preoperative colour Doppler ultrasonography was used for patient selection to identify the dominant perforator in all cases. A total of 16 TAP flaps were performed; 12 flaps were based on one perforator and four were based on two. A permanent silicone implant was used in 14 cases and an expander implant in two. Minor complications were registered in three patients. Two cases had major complications needing additional surgery. One flap was lost due to a vascular problem. Breast reconstruction can be performed by a propeller TAP flap without cutting the descending branch of the thoracodorsal vessels. However, the authors would recommend that a small cuff of muscle is left around the perforator to ensure a sufficient venous return.
本研究的目的是探讨螺旋桨式胸背动脉穿支（TAP）皮瓣是否可用于乳房重建。15名女性接受了螺旋桨式TAP皮瓣、植入物和脱细胞真皮基质（ADM）的重建手术。术前使用彩色多普勒超声进行患者筛选，以在所有病例中识别主要穿支。共进行了16例TAP皮瓣手术；12个皮瓣基于一个穿支，4个基于两个穿支。14例使用永久性硅胶植入物，2例使用扩张器植入物。3例患者出现轻微并发症。2例出现需要额外手术的严重并发症。1个皮瓣因血管问题丢失。乳房重建可通过螺旋桨式TAP皮瓣进行，而无需切断胸背血管的降支。然而，作者建议在穿支周围保留一小圈肌肉，以确保足够的静脉回流。
