지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.12
- 수록면
- 368 - 374 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Major chest wall reconstruction following radical excision of advanced breast cancer is remained a challenging treatment of oncoplastic surgeons. The aims of this study are to introduce a method of external oblique myocutaneous flap (EOMCF) and evaluate the effect of large chest wall reconstruction using external oblique myocutaneous flap.
Methods: A retrospective review of 17 patients who underwent chest wall reconstruction with external oblique myocutaneous flap from January of 2007 through May of 2008 was performed. The upper edge of external oblique myocutaneous flap was lower margin of defect. The medial edge was mid-line of abdomen by umbilicus, vertically along the linea alba. The lower edge was a lateral transverse line at the level of umbilicus. The flap was rotated clockwise in the left side chest wall defects and counterclockwise in the right.
Results: The mean chest wall defect was 360.8±137.8 ㎠ and the mean flap size was 591.1±136.2 ㎠. The mean reconstruction time was 41.5±7.9 min and patients were discharged on 8.8±1.2 postoperative day (mean). Three patients had superficial skin loss (＜5%) and this lesions are healed with conservative therapy.
Conclusion: We propose that the external oblique myocutaneous flap may be a safe and feasible method for reconstruction of large chest wall defects after radical mastectomy including all breast skin.
Methods: A retrospective review of 17 patients who underwent chest wall reconstruction with external oblique myocutaneous flap from January of 2007 through May of 2008 was performed. The upper edge of external oblique myocutaneous flap was lower margin of defect. The medial edge was mid-line of abdomen by umbilicus, vertically along the linea alba. The lower edge was a lateral transverse line at the level of umbilicus. The flap was rotated clockwise in the left side chest wall defects and counterclockwise in the right.
Results: The mean chest wall defect was 360.8±137.8 ㎠ and the mean flap size was 591.1±136.2 ㎠. The mean reconstruction time was 41.5±7.9 min and patients were discharged on 8.8±1.2 postoperative day (mean). Three patients had superficial skin loss (＜5%) and this lesions are healed with conservative therapy.
Conclusion: We propose that the external oblique myocutaneous flap may be a safe and feasible method for reconstruction of large chest wall defects after radical mastectomy including all breast skin.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (28)
참고문헌 신청
1. [학술지(정기간행물)] - Samuels L / 1993 / Reconstruction of radiation-induced chest wall lesions / Ann Plast Surg 31 : 399 ~ 405
2. [학술지(정기간행물)] - Rouanet P / 1995 / Chest wall reconstruction for radionecrosis after breast carcinoma therapy / Ann Plast Surg 34 : 465 ~ 470
3. [학술지(정기간행물)] - Webster DJ / 1983 / The rectus abdominis myocutaneous island flap in breast cancer / Br J Surg 70 : 71 ~ 73
4. [학술지(정기간행물)] - Wanger DS / 1991 / Double-pedicle TRAM flap for unilateral breast reconstruction / Plast Reconstr Surg 88 : 987 ~ 997
5. [학술지(정기간행물)] - McCormack P / 1981 / New trends in skeletal reconstruction after resection of chest wall tumors / Ann Thorac Surg 31 : 45 ~ 52
2. [학술지(정기간행물)] - Rouanet P / 1995 / Chest wall reconstruction for radionecrosis after breast carcinoma therapy / Ann Plast Surg 34 : 465 ~ 470
3. [학술지(정기간행물)] - Webster DJ / 1983 / The rectus abdominis myocutaneous island flap in breast cancer / Br J Surg 70 : 71 ~ 73
4. [학술지(정기간행물)] - Wanger DS / 1991 / Double-pedicle TRAM flap for unilateral breast reconstruction / Plast Reconstr Surg 88 : 987 ~ 997
5. [학술지(정기간행물)] - McCormack P / 1981 / New trends in skeletal reconstruction after resection of chest wall tumors / Ann Thorac Surg 31 : 45 ~ 52
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