Dannepond A, Michot A, Pinsolle V, Rousvoal A
Service de chirurgie plastique reconstructrice et esthétique, chirurgie de la main, chirurgie des brûlés et transexuels, université Bordeaux 2 Segalen, CHU de Bordeaux, 33000 Bordeaux, France.
Service de chirurgie oncologique et reconstructrice, institut Bergonié, université Bordeaux 2 Segalen, 33000 Bordeaux, France.
Ann Chir Plast Esthet. 2019 Feb;64(1):11-16. doi: 10.1016/j.anplas.2018.10.006. Epub 2018 Nov 16.
Breast reduction is a very common intervention in plastic surgery. Its benefit on the quality of life of patients is certain. With the increasing number of conservative surgeries for breast cancer, the potential number of breast reduction on the irradiated breast has increased. The antecedent of irradiation is an absolute contraindication for the majority of breast reduction teams. The objective of this review of the literature is to evaluate the characteristics of the patients, the modalities, the complications and the overall satisfaction of the patients operated on breast reductions on irradiated ground.
A review of the literature according to the recommendations was carried out. A total of 207 articles were found with the appropriate keywords (Mammoplasty Reduction, Reduction Mammaplasty, Breast reduction crossed with the terms radiotherapy, irradiation). After selection, 11 articles were selected and analyzed.
126 patients were included. The average age was 50 years, the average BMI was 29kg/m. The majority of patients were non-smokers and non-diabetics. The average resection weight was 507 grams. The average follow-up was 24.6 months. The delay between radiotherapy and surgery was 48 months. Five different surgical techniques were used. A complication rate of 50% is found. Overall satisfaction is good.
This is the first review of the literature on breast reduction series on irradiated breasts. The results are inspiring and critical. Appropriate selection of patients seems essential. The publication of larger series and the description of a standardized technique would be interesting.
乳房缩小术是整形外科中一种非常常见的手术。其对患者生活质量的益处是肯定的。随着乳腺癌保乳手术数量的增加，对接受过放疗的乳房进行乳房缩小术的潜在数量也有所增加。放疗史是大多数乳房缩小术团队的绝对禁忌证。本文献综述的目的是评估接受过放疗的乳房缩小术患者的特征、手术方式、并发症及患者总体满意度。
按照推荐对文献进行综述。通过适当的关键词（乳房缩小成形术、缩乳术、与放疗、照射相关的乳房缩小术）共检索到207篇文章。筛选后，选取11篇文章进行分析。
纳入126例患者。平均年龄为50岁，平均体重指数为29kg/m。大多数患者不吸烟且非糖尿病患者。平均切除重量为507克。平均随访时间为24.6个月。放疗与手术之间的间隔时间为48个月。采用了五种不同的手术技术。并发症发生率为50%。总体满意度良好。
这是关于接受过放疗的乳房缩小术系列的首次文献综述。结果令人鼓舞且具有重要意义。恰当选择患者似乎至关重要。发表更大样本量的系列研究以及描述标准化技术将会很有意义。
