McCauley R L, Beraja V, Rutan R L, Huang T T, Abston S, Rutan T C, Robson M C
University of Texas Medical Branch.
Plast Reconstr Surg. 1989 Apr;83(4):676-80. doi: 10.1097/00006534-198904000-00013.
Long-term follow-up of breast development in adolescent female patients with burns of the anterior chest wall is poorly documented. Between 1971 and 1976, 28 female patients with photographic documentation of burns to the anterior chest wall involving the nipple-areolar complex were reviewed. All patients were followed at least until their early teens. The mean age at the time of thermal injury was 5.9 +/- 2.5 years, with a mean follow-up time of 8.9 +/- 2.6 years. Thirteen patients (46 percent) were admitted to the Shriners Burns Institute in Galveston for acute care of their burns. Fifteen patients (54 percent) were referred for long-term follow-up or specific reconstructive procedures following care of the acute burns. In spite of significant thermal injury to the anterior chest wall with involvement of the nipple-areolar complex, no patient failed to develop breasts. Twenty patients (71 percent) required releases of the anterior chest wall to assist breast development. All anterior chest wall releases were accomplished with the use of skin grafts or local skin flaps.
青春期女性前胸壁烧伤患者乳房发育的长期随访记录较少。1971年至1976年间，对28例有前胸壁烧伤照片记录且累及乳头乳晕复合体的女性患者进行了回顾。所有患者至少随访至青少年早期。热损伤时的平均年龄为5.9±2.5岁，平均随访时间为8.9±2.6年。13例患者（46%）因烧伤急性治疗入住加尔维斯顿的施莱宁烧伤研究所。15例患者（54%）在急性烧伤治疗后被转诊进行长期随访或特定的重建手术。尽管前胸壁有严重热损伤且累及乳头乳晕复合体，但没有患者乳房发育失败。20例患者（71%）需要进行前胸壁松解以促进乳房发育。所有前胸壁松解均采用皮肤移植或局部皮瓣完成。
