Outcome of pectoralis major myomammary flap for post-mastectomy breast reconstruction: Extended experience
Outcome of pectoralis major myomammary flap for post-mastectomy breast reconstruction: Extended experience
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DOI：
10.1007/s00268-007-9093-4
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发表时间：
2007-07-01
影响因子：
2.6
通讯作者：
Farouk, Omar
中科院分区：
文献类型：
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作者：
Denewer, Adel;Setit, Ahmed;Farouk, Omar
背景在过去的十年中，埃及农村患者、亲属和肿瘤学家对乳房切除术后重建作为患者护理的一个组成部分的兴趣极大地扩大。我们介绍了我们的技术胸大肌肌皮瓣的大乳房，乳头和乳晕的单阶段重建，新的技术是基于在经典的方式进行改良根治性乳房切除术，然后使用胸大肌肌皮瓣从另一侧乳房重建。该皮瓣以胸肩峰动脉的胸分支为蒂，取健康乳房内侧部分的一部分，连同其上覆的皮肤和乳头乳晕复合体的一部分。这项技术是在我们的中心在一个118 patients，与非常有前途的results.Results主要皮瓣坏死，没有观察到在用这种技术治疗的患者，并有没有局部复发观察在随访期间。118例中49例（41.5%）获得了良好的美容效果。结论我们推荐这种新技术作为一个单一的阶段，简单的解决方案，乳房切除术后重建的巨大乳房。
Background In the past decade there has been an enormously expanding interest among rural Egyptian patients, relatives, and treating oncologists in post-mastectomy reconstruction as an integral part of patient care. We introduced our technique of pectoralis major myomammary cutaneous flap for single-stage reconstruction of large breasts, nipple, and areola.Methods The new technique is based on performing modified radical mastectomy in the classic manner, and then using a pectoralis major myocutaneous pedicled flap from the other side in breast reconstruction. The flap is based on the pectoral branch of the thoracoacromial artery, and a sector from the medial part of the healthy breast with its overlying skin and a part of the nipple-areola complex is included with the flap. This technique was used in our center in one 118 patients, with very promising results.Results Major flap necrosis was not observed in patients treated with this technique, and there were no local recurrences observed during the follow-up period. Excellent cosmetic results were achieved in 49 of the 118 (41.5%) cases.Conclusion We recommend this new technique as a single-stage, simple solution for reconstruction of large breasts after mastectomy.