脱细胞真皮基质（ADM）在乳头重建中的应用：“中央支柱技术”
Use of acellular dermal matrix (ADM) in nipple reconstruction: the 'central-pillar technique'.
作者信息
Bramhall Russell J, Thiruchelvam Paul T R, Concepcion Mae, Gui Gerald P
机构信息
Department of Breast Surgery, Royal Marsden Hospital, London, UK.
The London Clinic, London, UK.
出版信息
Gland Surg. 2017 Aug;6(4):394-398. doi: 10.21037/gs.2017.03.13.
Abstract
Nipple reconstructions are prone to a variable and unpredictable degree of flattening, which in some cases lead to secondary reconstruction. The use of an acellular dermal matrix (ADM) augmentation may be appropriate in cases with very thin dermis that are particularly prone to flattening or in revision cases where the first procedure has already failed. The authors present a series of 13 nipple reconstructions in ten cases. Average projection at 12 months was 51% in primary cases and 46% in secondary revision cases. This represents a better than expected long term result in a difficult cohort of patients.
摘要
乳头重建容易出现程度不一且不可预测的扁平情况，在某些情况下会导致二次重建。对于真皮非常薄、特别容易扁平的病例，或首次手术已经失败的修复病例，使用脱细胞真皮基质（ADM）进行增大可能是合适的。作者介绍了10例共13次乳头重建的系列病例。初次病例在12个月时的平均突出度为51%，二次修复病例为46%。这在一组病情复杂的患者中代表了优于预期的长期效果。
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