Ter Louw Ryan P, Nahabedian Maurice Y
Falls Church, Va.; and Washington, D.C.
From the Inova Fairfax Hospital; MedStar Georgetown University Hospital, and MedStar Washington Hospital Center.
Plast Reconstr Surg. 2017 Nov;140(5S Advances in Breast Reconstruction):51S-59S. doi: 10.1097/PRS.0000000000003942.
Oncologic and reconstructive advancements in the management of patients with breast cancer and at high risk for breast cancer have led to improved outcomes and decreased patient morbidity. Traditional methods for prosthetic breast reconstructions have utilized total or partial muscle coverage of prosthetic devices. Although effective, placement of devices under the pectoralis major muscle can be associated with increased pain due to muscle spasm and animation deformities. Prepectoral prosthetic breast reconstruction has gained popularity in the plastic surgery community, and long-term outcomes have become available. This article will review the indications, technique, and current literature surrounding prepectoral prosthetic breast reconstruction.
乳腺癌患者及乳腺癌高危患者管理方面的肿瘤学和重建技术进展已改善了治疗效果并降低了患者的发病率。传统的假体乳房重建方法采用假体装置的全部或部分肌肉覆盖。尽管有效，但将装置置于胸大肌下方可能会因肌肉痉挛和动态畸形而导致疼痛加剧。胸前区假体乳房重建在整形外科领域越来越受欢迎，且已有长期疗效数据。本文将综述胸前区假体乳房重建的适应症、技术及相关的当前文献。
