Lanfrey E, Rietjens M, Garusi C, Petit J Y
Unità di Chirurgia Plastica Ricostruttiva, Istituto Europeo di Oncologia (IEO), Milano, Italia.
Ann Chir Plast Esthet. 1997 Apr;42(2):160-7.
Controlateral occult carcinomas are observed in 3 to 5% of the reduction mammaplasty of the controlateral breast at the time of the breast reconstruction. The symmetry procedure allows a good check up of the glandular tissue of the controlateral breast, especially when there is no evidence of tumor. The different techniques of breast reduction provide specific possibilities for such exploration and should be chosen according to the area which should be explored. The superior pedicle technique gives us the best exposure and an easier modelling. It gives a good aesthetic results in 80% of cases. The central pedicle and dermoglandular pedicle technique give a good exposure and permits us to fill the defect with glandular flap. The drawback of the inferior pedicle technique is the lack of control of the central and inferior quadrant.
在乳房重建时，对侧乳房行缩乳术的患者中，3%至5%会发现对侧隐匿性癌。对称手术能很好地检查对侧乳房的腺体组织，尤其是在没有肿瘤迹象的时候。不同的缩乳技术为这种探查提供了特定的可能性，应根据需要探查的区域来选择。上蒂技术能提供最佳的暴露效果且塑形更容易。80%的病例能获得良好的美学效果。中央蒂和真皮腺体蒂技术能提供良好的暴露，并允许用腺体瓣填充缺损。下蒂技术的缺点是无法控制乳房的中央和下象限。
