Dibbs Rami, Trost Jeff, DeGregorio Valerie, Izaddoost Shayan
Louisiana State University Health Science Center, New Orleans, Louisiana.
Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2019 Feb;33(1):59-66. doi: 10.1055/s-0039-1677703. Epub 2019 Mar 8.
Free tissue transfer serves as a modern workhorse for breast reconstruction. Advancements in microsurgical technique have allowed for the development of free flap procedures that produce an aesthetic breast while minimizing donor site morbidity. Here, the authors review the use of different free flap procedures for breast reconstruction with a focus on the preferred and most commonly used flap, the deep inferior epigastric perforator flap. Each flap has its advantages and drawbacks, and certain patient risk factors increase postoperative complications. Other techniques of breast reconstruction including pedicled flaps and adjunctive fat grafting are also briefly discussed.
游离组织移植是现代乳房重建的主要方法。显微外科技术的进步使得游离皮瓣手术得以发展，该手术能塑造出美观的乳房，同时将供区并发症降至最低。在此，作者回顾了不同游离皮瓣手术在乳房重建中的应用，重点关注最常用且首选的皮瓣——腹壁下深动脉穿支皮瓣。每种皮瓣都有其优缺点，某些患者风险因素会增加术后并发症。本文还简要讨论了乳房重建的其他技术，包括带蒂皮瓣和辅助脂肪移植。
