由于组织扩展器在乳房重建中使用而引起的胸壁缩,在扩展器被移除后有倒退:一个案例报告
Jong-Ho Kim1, Se Yeon Lee1, Chan Yeong Heo1
1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Gland surgery
|October 16, 2023
概括
这项案例研究表明,使用组织扩展器进行乳房重建后,胸壁抑郁 (CWD) 可能发生. 重要的是,在扩展器被移除后观察到胸壁反弹,这为重建结果提供了新的视角.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 在瘤学瘤学.
背景情况:
- 使用组织扩展器进行两阶段乳房重建仍然很常见.
- 胸壁抑郁 (CWD) 是已知的组织扩展器插入后的并发症.
- 摘除扩展器后胸壁反弹的情况以前没有报道过.
研究的目的:
- 在使用组织扩展器进行乳房重建后呈现CWD病例.
- 描述组织扩展器移除后胸壁的反弹.
- 提高人们对CWD和乳房重建中的倒退的认识.
主要方法:
- 一名40岁的女性患有CWD,并在组织扩展器插入后感到疼痛.
- 在手术前的CT扫描中评估CWD.
- 手术性囊切除和乳房重建,使用横向直肠腹部肌皮.
- 12个月的随访CT扫描来评估胸壁的变化.
主要成果:
- 术前CT显示扩展器侧显著的CWD (AP长度为127.2毫米而不是150.2毫米).
- 患者报告了手术后立即改善症状.
- 12个月的随访CT显示胸壁反弹 (AP长度为147.4毫米而不是153.7毫米).
结论:
- 在乳房重建中使用组织扩展器可以导致CWD和随后的反弹.
- 外科医生应该意识到这种潜在的现象.
- 患者的知情同意至关重要,特别是对于那些之前接受过放射治疗的人来说.
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