自主乳房重建后皮肤形态的变化
Chika Iizuka1, Hajime Matsumine1, Hiroyuki Sakurai1
1From the Department of Plastic and Reconstructive Surgery, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Plastic and reconstructive surgery. Global open
|September 20, 2024
概括
立即自身乳房重建 (IABR) 的皮肤向外移动,并随着时间的推移而扩大. 这项研究分析了手术后一年IABR皮肤位置和尺寸的变化,以帮助对称重建.
科学领域:
- 整形外科 整形外科 整形外科
- 乳房重建 乳房重建
- 审美效果的结果
背景情况:
- 立即自身乳房重建 (IABR) 提供了乳房切除术后的美学益处.
- 重建的乳房形态随着时间的推移而变化,影响对称性.
- 在手术前预测这些变化对于最佳结果至关重要.
研究的目的:
- 在IABR之后,回顾性地分析皮肤位置和形态的变化.
- 为预测长期美学结果和规划进一步重建提供数据.
- 用IABR重建的乳房改善对称性.
主要方法:
- 对35名接受皮肤节约乳腺切除术后IABR的患者的回顾性分析.
- 在手术后1个月和12个月获得3D图像.
- 皮肤位置的比较 (距离关节骨,胸部) 和尺寸 (投射,面积,短轴).
主要成果:
- 皮肤中心距离关节骨和胸骨的距离显著增加.
- 皮肤投射,面积和短轴的显著增加.
- 乳下和皮肤中心之间的距离没有显著变化.
结论:
- 皮肤在IABR中显示出明显的转移到外尾部方面,并在12个月内增加了尺寸.
- 这种位置和形态的变化应该在手术规划时考虑.
- 对于延迟的乳头重建,建议将片放置在稍微更为中的位置,并且比对侧侧面更窄.
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