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使用硝酸甘油涂抹和甲泼尼龙减轻乳房上提隆乳术后乳头乳晕复合体（NAC）缺血：一例报告

Mitigating nipple areolar complex (NAC) ischemia following mastopexy augmentation using nitroglycerin application and methylprednisolone: a case report.

作者信息

Stead Thor S, Laspro Matteo, Ramirez-Arroyo Giovanni, Ganti Latha, Mitra Amitabha

机构信息

Department of Plastic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, New York, NY, USA.

出版信息

Case Reports Plast Surg Hand Surg. 2023 Nov 27;10(1):2285056. doi: 10.1080/23320885.2023.2285056. eCollection 2023.

DOI:10.1080/23320885.2023.2285056
PMID:38229697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10790794/
Abstract

A patient who underwent bilateral wise-pattern mastopexy augmentation with threatened nipple-areolar complex necrosis was successfully managed medically with IV methylprednisolone and topical nitroglycerin ointment as immediate consultation with the operating surgeon was not possible.

摘要

一名接受双侧Wise术式乳房上提术联合隆乳术的患者，出现乳头乳晕复合体坏死迹象，因无法立即与主刀医生会诊，遂通过静脉注射甲泼尼龙和外用硝酸甘油软膏进行药物治疗，最终成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e832/10790794/a0f99b4d3999/ICRP_A_2285056_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e832/10790794/bc55dbff014e/ICRP_A_2285056_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e832/10790794/940ca89f9a53/ICRP_A_2285056_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e832/10790794/a0f99b4d3999/ICRP_A_2285056_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e832/10790794/bc55dbff014e/ICRP_A_2285056_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e832/10790794/940ca89f9a53/ICRP_A_2285056_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e832/10790794/a0f99b4d3999/ICRP_A_2285056_F0003_C.jpg

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本文引用的文献

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Topical nitroglycerin in newborns with ischemic injuries: A systematic review.局部应用硝酸甘油治疗新生儿缺血性损伤：一项系统综述。
Saudi Pharm J. 2021 Jul;29(7):764-774. doi: 10.1016/j.jsps.2021.05.008. Epub 2021 Jun 7.
2
Guiding Nipple-Areola Complex Reconstruction: Literature Review and Proposal of a New Decision-Making Algorithm.指导乳头乳晕复合体重建：文献回顾与新决策算法的提出。
Aesthetic Plast Surg. 2021 Jun;45(3):933-945. doi: 10.1007/s00266-020-02047-9. Epub 2020 Nov 20.
3
Efficacy and safety of topical nitroglycerin in the prevention of mastectomy flap necrosis: a systematic review and meta-analysis.
局部硝酸甘油预防乳房切除术皮瓣坏死的疗效和安全性：系统评价和荟萃分析。
Sci Rep. 2020 Apr 21;10(1):6753. doi: 10.1038/s41598-020-63721-1.
4
Septum-Based Mammaplasties: Surgical Techniques and Evaluation of Nipple-Areola Sensibility.基于鼻中隔的乳房成形术：手术技术和乳头乳晕感觉评估。
Aesthetic Plast Surg. 2020 Jun;44(3):689-697. doi: 10.1007/s00266-020-01657-7. Epub 2020 Mar 3.
5
Ischemic Complications after Nipple-sparing Mastectomy: Predictors of Reconstructive Failure in Implant-based Reconstruction and Implications for Decision-making.保留乳头乳晕的乳房切除术后的缺血性并发症：基于植入物乳房重建中重建失败的预测因素及对决策的影响
Plast Reconstr Surg Glob Open. 2019 May 23;7(5):e2280. doi: 10.1097/GOX.0000000000002280. eCollection 2019 May.
6
The Effect of Low-Dose Nitroglycerin Ointment on Skin Flap Necrosis in Breast Reconstruction after Skin-Sparing or Nipple-Sparing Mastectomy.低剂量硝酸甘油软膏对保留皮肤或保留乳头乳房切除术后乳房重建中皮瓣坏死的影响。
Arch Plast Surg. 2017 Nov;44(6):509-515. doi: 10.5999/aps.2017.00934. Epub 2017 Oct 26.
7
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Clin Plast Surg. 2016 Apr;43(2):415-23. doi: 10.1016/j.cps.2015.12.012. Epub 2016 Jan 26.
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