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“乳头状脐部”：用于腹部横行腹直肌肌皮瓣乳房重建术中即刻乳头再造的外翻脐部

The "Nipple-Licus": the Everted Umbilicus for Immediate Nipple Reconstruction in Mid-Abdominal Transverse Rectus Abdominis Myocutaneous Breast Reconstruction.

作者信息

Goh Cindy Siaw-Lin, Tan Bien-Keem

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.

出版信息

J Plast Reconstr Surg. 2022 May 21;1(2):82-85. doi: 10.53045/jprs.2021-0014. eCollection 2022 Jul 27.

DOI:10.53045/jprs.2021-0014
PMID:40452909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12123425/
Abstract

In this paper, we present a technique for immediate nipple reconstruction in two patients who underwent ipsilateral mid-abdominal transverse rectus abdominis myocutaneous breast reconstruction. The umbilical stalk and surrounding skin were included in the harvested flap. The flap was transferred and inset placing the umbilicus in the ideal nipple position. The umbilicus was then everted with traction, and its height was maintained with cerclage suturing, dermal grafts, and horizontal-to-vertical skin closure. This "nipple-licus" achieves immediate nipple reconstruction without a need for a second surgery or an additional donor site.

摘要

在本文中，我们介绍了一种为两名接受同侧腹直肌肌皮瓣乳房重建术的患者进行即刻乳头重建的技术。采集的皮瓣包含脐蒂及其周围皮肤。将皮瓣转移并植入，把脐部置于理想的乳头位置。然后通过牵引使脐部外翻，并用环扎缝合、植皮和水平至垂直的皮肤闭合来维持其高度。这种“乳头 - 脐”技术可实现即刻乳头重建，无需二次手术或额外的供区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/476e/12123425/f26975a62408/jprs-01-02-0082-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/476e/12123425/064f550c3380/jprs-01-02-0082-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/476e/12123425/65155327310a/jprs-01-02-0082-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/476e/12123425/f26975a62408/jprs-01-02-0082-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/476e/12123425/064f550c3380/jprs-01-02-0082-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/476e/12123425/65155327310a/jprs-01-02-0082-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/476e/12123425/f26975a62408/jprs-01-02-0082-g003.jpg

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本文引用的文献

1
Patient Satisfaction Increases with Nipple Reconstruction following Autologous Breast Reconstruction.自体乳房重建术后行乳头重建可提高患者满意度。
Plast Reconstr Surg. 2021 Aug 1;148(2):177e-184e. doi: 10.1097/PRS.0000000000008180.
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Nipple reconstruction with rolled dermal graft support.带卷状真皮移植支撑的乳头再造术
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Immediate nipple reconstruction using the everted umbilicus.
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Preferred use of the ipsilateral pedicled TRAM flap for immediate breast reconstruction: an illustrated approach.优先使用同侧带蒂 TRAM 皮瓣进行即刻乳房重建：一种图示方法。
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J Plast Reconstr Aesthet Surg. 2010 Aug;63(8):e627-30. doi: 10.1016/j.bjps.2010.03.021. Epub 2010 Apr 3.
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The Maylard incision: a low transverse incision variant seen in DIEP flap breast reconstruction.马勒德切口：DIEP 皮瓣乳房重建术中的一种低位横行切口变异。
J Plast Reconstr Aesthet Surg. 2009 Nov;62(11):e447-52. doi: 10.1016/j.bjps.2008.05.049. Epub 2008 Oct 5.
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The midabdominal TRAM flap for breast reconstruction in morbidly obese patients.用于病态肥胖患者乳房重建的腹部横行腹直肌肌皮瓣
Plast Reconstr Surg. 2005 Mar;115(3):764-70. doi: 10.1097/01.prs.0000152425.97646.76.
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Breast reconstruction after radical mastectomy: formation of missing nipple by everted navel.根治性乳房切除术后的乳房重建：利用外翻肚脐形成缺失的乳头。
Plast Reconstr Surg. 1966 Dec;38(6):577-80. doi: 10.1097/00006534-196638060-00016.