Meybodi Farid, Pham My, Sedaghat Negin, Elder Elisabeth, French James
Westmead Breast Cancer Institute, New South Wales, Australia.
Plast Reconstr Surg Glob Open. 2022 Feb 18;10(2):e4116. doi: 10.1097/GOX.0000000000004116. eCollection 2022 Feb.
Postmastectomy "dog-ears" are cosmetically displeasing, can contribute to a poorly fitting bra, and may cause discomfort for patients. They occur most commonly in patients with high body mass index and/or large breasts and can be challenging to manage. To avoid the lateral dog-ear following simple mastectomy, we describe the M-plasty with the addition of a lipodermal flap. We demonstrate that the addition of a lipodermal flap not only flattens the lateral contour of the chest wall but also facilitates a tension-free closure. This helps reduce wound-healing issues in high-risk patients with multiple comorbidities, high body mass index, and large breast size.
乳房切除术后的“狗耳”在外观上令人不悦，会导致胸罩穿着不适，还可能给患者带来不适。它们最常出现在身体质量指数高和/或乳房较大的患者中，处理起来可能具有挑战性。为避免单纯乳房切除术后出现外侧“狗耳”，我们描述了一种加用脂肪真皮瓣的M形整形术。我们证明，加用脂肪真皮瓣不仅能使胸壁外侧轮廓变平，还能促进无张力缝合。这有助于减少患有多种合并症、身体质量指数高和乳房尺寸大的高危患者的伤口愈合问题。
