Karadag E C, Yazar S, Altinkaya A, Bengur F B
Department of Plastic, Reconstructive and Aesthetic Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.
Niger J Clin Pract. 2019 Sep;22(9):1304-1306. doi: 10.4103/njcp.njcp_170_19.
Macromastia can cause serious psychological problems in women as well as psychosocial problems due to esthetic appearances. For this reason, proper technique in breast reduction surgery yields a dramatic physical and psychological improvement for the patient. Inverted T-scar breast reduction using the inferior pedicle technique is the most commonly used breast reduction method. The most common complication in this technique regards wound healing at the T-junction area. There are no literature reports citing the use of local flaps for the repair of tissue defects in the T-junction area following reduction mammoplasty. In this study, we present a case of using a salvaged local, Limberg-like fasciocutaneous flap for tissue defect repair at the T-junction area after the inverted T-scar reduction mammoplasty using an inferior pedicle.
巨乳症会给女性带来严重的心理问题，同时因其美观问题还会引发社会心理问题。因此，乳房缩小手术中恰当的技术能为患者带来显著的身体和心理改善。采用下蒂技术的倒T形瘢痕乳房缩小术是最常用的乳房缩小方法。该技术最常见的并发症是T形交界处的伤口愈合问题。目前尚无文献报道在乳房缩小成形术后使用局部皮瓣修复T形交界处的组织缺损。在本研究中，我们展示了一例在采用下蒂技术的倒T形瘢痕乳房缩小成形术后，使用挽救性局部类林贝格筋膜皮瓣修复T形交界处组织缺损的病例。
