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胸大肌外侧肌皮瓣用于腋窝缺损修复

Lateral Pectoralis Major Muscle Flap for Axillary Defect Obliteration.

作者信息

Wheeler Chad K, Sousa Janelle D, Moline Stephanie R, Fletcher Derek R, Williams Emily A, Pannucci Christopher J

机构信息

Plastic Surgery Northwest, Spokane, Wash.

Cancer Care Northwest, Spokane Valley, Wash.

出版信息

Plast Reconstr Surg Glob Open. 2020 Nov 30;8(11):e3221. doi: 10.1097/GOX.0000000000003221. eCollection 2020 Nov.

DOI:10.1097/GOX.0000000000003221
PMID:33299695
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7722563/
Abstract

This article describes the use of a lateral pectoralis major muscle flap for preemptive obliteration of axillary defects in breast cancer patients having reconstructive surgery. The muscle flap is based on a consistent lateral branch of the pectoral component of the thoracoacromial system. The flap is useful to improve axillary contour after sentinel lymph node biopsy or axillary lymph node dissection, and to cover lymphovenous anastomoses.

摘要

本文描述了在接受重建手术的乳腺癌患者中，使用胸大肌外侧肌皮瓣对腋窝缺损进行预防性修复。该肌皮瓣基于胸肩峰系统胸肌部分的一条恒定外侧分支。该肌皮瓣有助于在哨位淋巴结活检或腋窝淋巴结清扫术后改善腋窝外形，并覆盖淋巴静脉吻合处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d0/7722563/e7d9fea60100/gox-8-e3221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d0/7722563/eb5e9d7326c5/gox-8-e3221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d0/7722563/b54b5b85b002/gox-8-e3221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d0/7722563/e7d9fea60100/gox-8-e3221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d0/7722563/eb5e9d7326c5/gox-8-e3221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d0/7722563/b54b5b85b002/gox-8-e3221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d0/7722563/e7d9fea60100/gox-8-e3221-g003.jpg

相似文献

1
Lateral Pectoralis Major Muscle Flap for Axillary Defect Obliteration.胸大肌外侧肌皮瓣用于腋窝缺损修复
Plast Reconstr Surg Glob Open. 2020 Nov 30;8(11):e3221. doi: 10.1097/GOX.0000000000003221. eCollection 2020 Nov.
2
Use of pectoralis major with or without pectoralis minor muscle flap to fill lumpectomy in the breast.使用带或不带胸小肌肌瓣的胸大肌填充乳房肿块切除术的缺损。
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The anatomy of the pectoral nerves and its significance in breast augmentation, axillary dissection and pectoral muscle flaps.胸神经的解剖及其在隆乳、腋窝清扫和胸肌皮瓣中的意义。
J Plast Reconstr Aesthet Surg. 2012 Sep;65(9):1193-8. doi: 10.1016/j.bjps.2012.03.032. Epub 2012 Apr 23.
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Surgical anatomy of the pectoral nerves and the pectoral musculature.胸神经和胸肌的外科解剖。
Clin Anat. 2012 Jul;25(5):559-75. doi: 10.1002/ca.21301. Epub 2011 Nov 28.
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Impact of sentinel lymph node biopsy on the evolution of breast reconstruction.前哨淋巴结活检对乳房重建演变的影响。
Plast Reconstr Surg. 2006 Oct;118(5):1089-1099. doi: 10.1097/01.prs.0000236794.73344.c4.
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Locating the axillary vein and preserving the medial pectoral nerve.定位腋静脉并保留胸内侧神经。
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[SENTINEL LYMPH NODE BIOPSY AND AXILLARY DISSECTION].[前哨淋巴结活检与腋窝清扫术]
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Anatomical study of the pectoral branch of thoracoacromial artery.胸肩峰动脉胸肌支的解剖学研究
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Use of the deltoid branch-based clavicular head of pectoralis major muscle flap in isolated sternoclavicular infections.应用基于三角肌分支的胸大肌锁骨头肌皮瓣治疗孤立性胸锁关节感染。
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本文引用的文献

1
Method of breast reconstruction and the development of lymphoedema.乳房重建方法与淋巴水肿的发展。
Br J Surg. 2017 Feb;104(3):230-237. doi: 10.1002/bjs.10397. Epub 2016 Nov 14.
2
Reduced incidence of breast cancer-related lymphedema following mastectomy and breast reconstruction versus mastectomy alone.与单纯乳房切除术相比，乳房切除术和乳房重建可降低乳腺癌相关淋巴水肿的发生率。
Plast Reconstr Surg. 2012 Dec;130(6):1169-1178. doi: 10.1097/PRS.0b013e31826d0faa.
3
Immediate breast reconstruction and lymphedema incidence.即刻乳房重建与淋巴水肿发病率。
Plast Reconstr Surg. 2012 May;129(5):789e-795e. doi: 10.1097/PRS.0b013e31824a2ab1.
4
Update on the split-muscle technique for breast augmentation: prevention and correction of animation distortion and double-bubble deformity.隆胸术之劈裂肌技术的进展：预防与矫正动态畸形及双泡畸形
Aesthetic Plast Surg. 2011 Jun;35(3):426-9. doi: 10.1007/s00266-010-9599-2.
5
Subfascial breast augmentation: theme and variations.
Aesthet Surg J. 2005 Sep-Oct;25(5):447-53. doi: 10.1016/j.asj.2005.07.006.
6
The thoracoacromial vessels as recipient vessels in microsurgery and supermicrosurgery: an anatomical and sonographic study.胸肩峰血管在显微外科和超显微外科中作为受区血管的解剖学及超声影像学研究
Plast Reconstr Surg. 2005 Jan;115(1):77-83.
7
Anatomical study concerning the origin and course of the pectoral branch of the thoracoacromial trunk for the pectoralis major flap.关于胸肩峰干胸肌支起点及走行的解剖学研究，用于胸大肌肌皮瓣。
Surg Radiol Anat. 2004 Dec;26(6):428-32. doi: 10.1007/s00276-004-0273-8.
8
Variability in the vascularity of the pectoralis major muscle.胸大肌血管分布的变异性。
J Otolaryngol. 2003 Feb;32(1):12-5. doi: 10.2310/7070.2003.35357.
9
An investigation of lymphatic function following free-tissue transfer.游离组织移植后淋巴功能的研究。
Plast Reconstr Surg. 1997 Mar;99(3):730-41; discussion 742-3. doi: 10.1097/00006534-199703000-00020.
10
A successful operation for lymphoedema using a myocutaneous flap as a "wick".使用肌皮瓣作为“引流条”治疗淋巴水肿的成功手术。
Br J Plast Surg. 1983 Jan;36(1):64-6. doi: 10.1016/0007-1226(83)90014-0.