在乳房重建中,肋骨软骨切除和术后胸部衰退形之间的关系
Satoshi Onoda1, Toshihiko Satake1, Ryohei Katsuragi1
1Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan.
概括
在使用内部乳腺血管进行乳房重建期间最小切除肋骨软骨可以减少胸部压力. 保护软骨是免费皮手术后避免化品变形的关键.
科学领域:
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
- 重建性手术是一种重建性手术.
背景情况:
- 内部乳腺动脉和静脉是用于乳房重建的多功能接收器.
- 肋骨软骨的剖析通常是微血管解剖所必需的,可能导致化品缺陷.
研究的目的:
- 调查肋骨软骨切除程度与乳房重建中的术后形变形之间的相关性.
- 为了确定最小化肋骨软骨切除是否可以改善化品的结果.
主要方法:
- 追溯分析101名患者 (111个侧面) 经过使用内部乳腺血管进行乳房重建.
- 根据肋骨软骨切除的程度,评估术后的胸部压力.
- 使用斯皮尔曼等级相关性的统计分析.
主要成果:
- 在37/38名患者中,肋骨软骨的完整保存导致没有或最小的抑郁症.
- 肋骨软骨的部分或完全切除与胸部抑郁的发病率和严重程度较高有关.
- 在肋骨软骨切除和形之间发现了强烈的正相关性 (斯皮尔曼r = 0.4911936).
结论:
- 肋骨软骨切除的程度与内部乳腺动脉的术后形变形和基于静脉的乳房重建有显著的相关性.
- 尽量减少肋骨软骨切除对于减少胸部衰退和增强自由乳房重建中的美容效果至关重要.
相关概念视频
The Thoracic Cage: Ribs
3.4K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
3.4K
Pneumothorax-II
218
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
218
Flail Chest-II
212
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
212
Flail Chest-I
227
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
227
The Thoracic Cage: Sternum
2.6K
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
2.6K


