Maruccia Michele, Di Taranto Giuseppe, Onesti Maria G
Department of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy.
Breast J. 2018 Mar;24(2):180-183. doi: 10.1111/tbj.12860. Epub 2017 Jul 13.
More than 50% of breast cancer care occurs in elderly but women aged 65 and over generally have lower breast reconstruction (BR) rates. In medical literature, few papers focused on BR in elderly patients and usually the reported techniques are multisteps such as expander-implant reconstruction, local, and free flaps. We present a one-stage reconstruction technique employed in elderly patients: muscle-sparing immediate BR with subcutaneous implant and Braxon acellular dermal matrix. We prove the feasibility and safety of the technique and believe that this new procedure could represent a potential benefit in elderly BR.
超过50%的乳腺癌护理发生在老年患者中,但65岁及以上的女性乳房重建(BR)率通常较低。在医学文献中,很少有论文关注老年患者的乳房重建,而且报道的技术通常是多步骤的,如扩张器-植入物重建、局部皮瓣和游离皮瓣。我们介绍一种应用于老年患者的一期重建技术:保留肌肉的即刻乳房重建联合皮下植入物和Braxon脱细胞真皮基质。我们证明了该技术的可行性和安全性,并认为这一新术式可能对老年乳房重建有潜在益处。