Børsen-Koch Mikkel, Gunnarsson Gudjon L, Sørensen Jens Ahm, Thomsen Jørn Bo
Department of Plastic Surgery, Lillebaelt Hospital and Odense University Hospital, Vejle, Denmark.
Department of Plastic Surgery, Telemark Hospital, Skien, Norway.
Gland Surg. 2017 Feb;6(1):110-113. doi: 10.21037/gs.2017.01.01.
This paper presents two case reports on thermal injury to a breast reconstructed by the TAPIA method. In both cases the injuries were caused by excessive sun exposure. Thermal injury to flaps used in breast reconstruction has previously been described but most commonly in abdominal flaps, which may be due to the relative high frequency of this type of reconstructions. Reports of thermal injury to reconstructions using the Latissimus Dorsi flap are rare. The injuries previously described are most often caused by severe heat exposure. The thoracodorsal artery perforator (TAP)-flap can be used as an alternative to the Latissimus Dorsi flap but it may be more susceptible to thermal insult due to the total denervation, the restricted blood supply and the limited thickness of the flap. Precautions are recommended to avoid this type of injury.
本文介绍了两例采用TAPIA法进行乳房重建后发生热损伤的病例报告。在这两例中，损伤均由过度日晒所致。乳房重建中使用的皮瓣热损伤此前已有描述，但最常见于腹部皮瓣，这可能是由于此类重建的相对高频率。关于背阔肌皮瓣重建发生热损伤的报告很少。先前描述的损伤大多由严重热暴露引起。胸背动脉穿支（TAP）皮瓣可作为背阔肌皮瓣的替代方法，但由于完全去神经支配、血供受限和皮瓣厚度有限，它可能更容易受到热损伤。建议采取预防措施以避免此类损伤。
