Tsunekawa Yukiyo, Sato Hideyoshi, Koyama Chisato, Oka Yuichi, Toriyama Kazuhiro
Department of Plastic and Reconstructive Surgery, Nagoya City University Graduate School of Medical Sciences and medical School, Nagoya, Japan.
Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences and medical School, Nagoya, Japan.
JPRAS Open. 2020 Apr 11;24:56-59. doi: 10.1016/j.jpra.2020.03.007. eCollection 2020 Jun.
Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional.
脑深部电刺激器（DBS）有时用于治疗难治性运动障碍，如帕金森病。当DBS植入胸部皮下囊袋时，乳房重建成为一项挑战，因为单极电灼可能导致DBS功能障碍或因热引起脑组织损伤。我们报告一例接受一期基于植入物的乳房重建的DBS患者。我们在手术前关闭了DBS，并使用最低功率设置的单极电磁电灼来分离用于乳房植入物的皮下囊袋。手术完成后立即重新开启DBS。患者术后恢复顺利，DBS功能完全正常。
