Tomita Koichi, Yano Kenji, Sugio Yuta, Ishihara Takayoshi, Nishibayashi Akimitsu, Matsuda Ken, Hosokawa Ko
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
Plast Reconstr Surg Glob Open. 2014 Nov 7;2(10):e231. doi: 10.1097/GOX.0000000000000200. eCollection 2014 Oct.
Corrective surgery following breast-conserving surgery is generally challenging due to severe fibrosis induced by postoperative radiotherapy. Although use of the latissimus dorsi myocutaneous flap offers a safe and reliable option, exposure of the skin paddle to the skin surface is often inevitable to achieve correction of nipple-areola complex malposition, leaving conspicuous, patchwork-like scars on the breast. In this report, we describe a 2-stage procedure using a subcutaneous tissue expander and the latissimus dorsi myocutaneous flap for the correction of both nipple-areola complex malposition and breast volume without skin paddle exposure. Although careful observation is necessary during skin expansion, this technique could offer an alternative option for patients undergoing corrective surgery following breast-conserving surgery.
保乳手术后的矫正手术通常具有挑战性，因为术后放疗会导致严重纤维化。尽管使用背阔肌肌皮瓣是一种安全可靠的选择，但为了矫正乳头乳晕复合体错位，皮肤皮瓣暴露于皮肤表面往往不可避免，会在乳房上留下明显的、拼凑状的疤痕。在本报告中，我们描述了一种两阶段手术，使用皮下组织扩张器和背阔肌肌皮瓣来矫正乳头乳晕复合体错位和乳房体积，且不暴露皮肤皮瓣。尽管在皮肤扩张过程中需要仔细观察，但该技术可为保乳手术后接受矫正手术的患者提供另一种选择。
