Kalender Vagif, Guliyeva Gunel, Güven Erdem, Galandarova Aysune
Division of Plastic Surgery, Azerbaijan Medical University, Baku, Azerbaijan.
Division of Plastic, Reconstructive and Aesthetic Surgery, İstanbul University Faculty of Medicine, İstanbul, Turkey.
Plast Reconstr Surg Glob Open. 2021 Nov 22;9(11):e3963. doi: 10.1097/GOX.0000000000003963. eCollection 2021 Nov.
Although breast reconstruction has been performed for centuries, there is a constant search for new approaches to achieve an aesthetically pleasing appearance while causing minimal patient morbidity. In our previous article, we have described our experience with the bipedicled musculo-derma-glandular, axio-perforator flap. The main advantage of this well-vascularized flap is the ability to restore the shape after mastectomy while removing the excess tissue from the hypertrophic and ptotic healthy breast. Based on our promising results with this technique in the previous two patients, we combined the breast reconstruction using bipedicled musculo-derma-glandular, axio-perforator flap with simultaneous nipple-areolar complex reconstruction. The surgery was successful, and the patient did not experience any complications. We believe this technique can be applied for patients with breast hypertrophy and ptosis to achieve reliable and aesthetically acceptable results in a one-stage operation.
尽管乳房重建已经进行了几个世纪，但人们一直在不断探索新的方法，以在使患者发病率降至最低的同时，实现美观的外观。在我们之前的文章中，我们描述了我们使用双蒂肌皮腺、轴型穿支皮瓣的经验。这种血运丰富的皮瓣的主要优点是能够在乳房切除术后恢复形状，同时去除肥厚、下垂的健康乳房中的多余组织。基于我们在前两名患者中使用该技术取得的良好结果，我们将使用双蒂肌皮腺、轴型穿支皮瓣进行乳房重建与同期乳头乳晕复合体重建相结合。手术很成功，患者没有出现任何并发症。我们相信，这种技术可应用于乳房肥大和下垂的患者，以在一期手术中获得可靠且美观的效果。
