Dutton Walter, Ghareeb Paul A, McClellan W Thomas
Dept of Surgery WVU School of Medicine, USA.
Dept. of Surgery WVU School of Medicine, USA.
W V Med J. 2013 Nov-Dec;109(6):30-3.
The skin-sparing mastectomy has many advantages over a simple mastectomy, including preservation of the native breast skin, inframammary fold, and improved aesthetics for immediate reconstruction. The traditional transverse elliptical access incision is anterior on the breast mound, requires a second incision for previous biopsy sites, and provides restricted access to the axilla. We describe a novel mastectomy incision that improves scar appearance, improves access to the axillary contents, and reduces skin flap retraction. This incision starts at the nipple-areolar complex and extends laterally in a curvilinear fashion toward the axilla incorporating the biopsy scar along the way. This simple sinusoidal design results in an aesthetically superior alternative to the traditional linear mastectomy incision.
保留皮肤的乳房切除术相对于单纯乳房切除术有许多优点，包括保留天然乳房皮肤、乳房下皱襞，并改善了即刻重建的美观效果。传统的横向椭圆形入路切口位于乳房隆起前方，先前活检部位需要第二个切口，且进入腋窝的途径受限。我们描述了一种新型乳房切除切口，可改善瘢痕外观，改善对腋窝内容物的显露，并减少皮瓣回缩。该切口始于乳头乳晕复合体，沿曲线向腋窝外侧延伸，沿途纳入活检瘢痕。这种简单的正弦曲线设计在美学上优于传统的线性乳房切除切口。
