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자료유형
학술저널
저자정보
Yu, Seong Cheol (Department of Plastic and Reconstructive Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) Kleiber, Grant M. (Section of Plastic Surgery, Department of Surgery, University of Chicago Medical Center, University of Chicago Pritzker School of Medicine) Song, David H. (Section of Plastic Surgery, Department of Surgery, University of Chicago Medical Center, University of Chicago Pritzker School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제3호
발행연도
2013.1
수록면
173 - 180 (8page)

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As microvascular techniques continue to improve, perforator flap free tissue transfer is now the gold standard for autologous breast reconstruction. Various options are available for breast reconstruction with autologous tissue. These include the free transverse rectus abdominis myocutaneous (TRAM) flap, deep inferior epigastric perforator flap, superficial inferior epigastric artery flap, superior gluteal artery perforator flap, and transverse/vertical upper gracilis flap. In addition, pedicled flaps can be very successful in the right hands and the right patient, such as the pedicled TRAM flap, latissimus dorsi flap, and thoracodorsal artery perforator. Each flap comes with its own advantages and disadvantages related to tissue properties and donor-site morbidity. Currently, the problem is how to determine the most appropriate flap for a particular patient among those potential candidates. Based on a thorough review of the literature and accumulated experiences in the author's institution, this article provides a logical approach to autologous breast reconstruction. The algorithms presented here can be helpful to customize breast reconstruction to individual patient needs.

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