Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan.
Medicina (Kaunas). 2022 Mar 22;58(4):458. doi: 10.3390/medicina58040458.
: Among many donor site options for autologous breast reconstruction, the use of the profunda femoris artery perforator (PAP) flap has become common in patients who are not suitable for the gold standard procedure, the deep inferior epigastric artery perforator flap. However, its limited volume has precluded its wide use in breast reconstruction. The aim of this report was to demonstrate the effectiveness of a method in which the anatomical position of the pectoralis major muscle was adjusted to augment the volume of the superior pole of the breast during PAP flap transfer. A comparison was made with a conventional PAP flap breast reconstruction. : Fifty-nine consecutive cases where unilateral autologous breast reconstruction was performed using the vertically designed PAP flap were retrospectively reviewed. Conventional PAP flap transfer was performed in 36 patients (Group 1), and PAP flap transfer with pectoralis major muscle augmentation was performed in 23 patients (Group 2). : The patient satisfaction at 12 months postoperatively was statistically greater in Group 2, with the pectoralis major muscle augmentation, than in Group 1 [23/36 (64%) vs. 22/23 (96%), = 0.005]. There were no significant differences in postoperative complication rates at the reconstructed site [2/36 (5.6%) vs. 0/23 (0%), = 0.52]. : Higher patient satisfaction could be achieved with pectoralis major muscle augmentation in PAP flap breast reconstruction without increasing the postoperative complication rate at the reconstructed site.
: 在众多自体乳房重建的供区选择中，深股动脉穿支（PAP）皮瓣在不适合金标准手术-腹壁下动脉穿支皮瓣的患者中已得到广泛应用。然而，其体积有限，限制了其在乳房重建中的广泛应用。本报告旨在展示一种方法的有效性，该方法调整胸大肌的解剖位置，以增加 PAP 皮瓣转移时乳房上极的体积。与传统的 PAP 皮瓣乳房重建进行了比较。: 回顾性分析了 59 例单侧自体乳房重建采用垂直设计 PAP 皮瓣的连续病例。36 例患者行传统 PAP 皮瓣转移（组 1），23 例患者行带胸大肌肌皮瓣转移（组 2）。: 术后 12 个月，组 2 患者满意度明显高于组 1（带胸大肌肌皮瓣转移）[23/36（64%）vs. 22/23（96%），= 0.005]。两组患者术后重建部位并发症发生率无显著差异[2/36（5.6%）vs. 0/23（0%），= 0.52]。: 在不增加重建部位术后并发症发生率的情况下，通过 PAP 皮瓣乳房重建中的胸大肌肌皮瓣转移可以获得更高的患者满意度。
