Faenza Mario, Lanzano Giuseppe, Grella Elisa, Izzo Sara, Ferraro Giuseppe Andrea
Plastic and Reconstructive Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.
Plast Reconstr Surg Glob Open. 2023 Mar 10;11(3):e4862. doi: 10.1097/GOX.0000000000004862. eCollection 2023 Mar.
Implant-based breast reconstruction represents the most popular procedure for the treatment of women undergoing skin-sparing mastectomy. In selected patients, it allows for obtaining an excellent appearance of the reconstructed breast with great satisfaction to the patient. However, aesthetic and functional results can be affected by complications requiring reoperation. Among them, rippling is an undesired occurrence associated with implant-based reconstruction. It consists of a cutaneous manifestation, visible and/or palpable, of the implant wrinkles and edge which appear mostly when the patient leans forward. To treat this contour deformity, several techniques have been described such as acellular dermal matrices and autologous tissues. In this study, we intend to add the serratus anterior fascial flap within the autologous options in the treatment of implant rippling, reporting our experience.
基于植入物的乳房重建是治疗接受保乳皮肤乳房切除术女性最常用的方法。对于特定患者，它能使重建乳房外观极佳，患者满意度高。然而，美学和功能结果可能会受到需要再次手术的并发症影响。其中，波纹是与基于植入物重建相关的不良现象。它表现为植入物褶皱和边缘的皮肤表现，可见和/或可触及，大多在患者前倾时出现。为治疗这种外形畸形，已描述了多种技术，如脱细胞真皮基质和自体组织。在本研究中，我们打算在治疗植入物波纹的自体选项中增加前锯肌筋膜瓣，并报告我们的经验。
