Jarrett J R, Cutler R G, Teal D F
Plast Reconstr Surg. 1982 Apr;69(4):624-31. doi: 10.1097/00006534-198204000-00009.
We present a series of 267 patients who have had bilateral prophylactic subcutaneous mastectomies with immediate submuscular reconstruction. Seventy-one of these patients had a simultaneous surgical skin reduction (mastopexy). All 276 patients have both of their implants currently in place and have achieved very satisfactory functional and aesthetic results, as judged by both the patient and the surgeon. We believe the essentials to obtaining a satisfactory result are thorough preoperative evaluation, creation of adequate muscle cover to include always a large triangle of the serratus anterior with the pectoralis and rectus abdominis muscles, proper use of skin taping in patients not undergoing a surgical mastopexy to allow adhesion of the nipple-areola complex in the proper position and shape, and careful postoperative muscle therapy.
我们报告了一系列267例行双侧预防性皮下乳房切除术并即刻行肌下重建术的患者。其中71例患者同时进行了手术性皮肤缩减（乳房固定术）。目前，所有276例患者的植入物均在位，并且患者和外科医生均认为其功能和美学效果非常令人满意。我们认为，获得满意效果的要点包括：术前进行全面评估；构建足够的肌肉覆盖，始终包括由前锯肌与胸肌和腹直肌组成的大三角形；对于未行手术性乳房固定术的患者，正确使用皮肤胶带以使乳头乳晕复合体在合适的位置和形状粘连；以及术后进行仔细的肌肉治疗。
