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논문 기본 정보

자료유형
학술저널
저자정보
Nam, Su Bong (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Oh, Heung Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Choi, Jae Yeon (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Seong Hwan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Choo, Ki Seok (Department of Radiology, Pusan National University School of Medicine) Kim, Hyun Yul (Department of Surgery, Pusan National University School of Medicine) Lee, Sang Hyup (Department of Surgery, Pusan National University School of Medicine) Lee, Jae Woo (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제2호
발행연도
2019.1
수록면
135 - 139 (5page)

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Background In immediate breast reconstruction using an extended latissimus dorsi musculocutaneous (eLDMC) flap, the volume of the flap decreases, which causes a secondary deformity of the breast shape. Since little research has investigated this decrease in muscle volume, the authors conducted an objective study to characterize the decrease in muscle volume after breast reconstruction using an eLDMC flap. Methods Research was conducted from October 2011 to November 2016. The subjects included 23 patients who underwent mastectomy due to breast cancer, received immediate reconstruction using an eLDMC flap without any adjuvant chemotherapy or radiotherapy, and received a computed tomography (CT) scan from days 7 to 10 after surgery and 6 to 8 months postoperatively. In 10 patients, an additional CT scan was conducted 18 months postoperatively. Axial CT scans were utilized to measure the volumetric change of the latissimus dorsi muscle during the follow-up period. Results In the 23 patients, an average decrease of 54.5% was observed in the latissimus dorsi muscle volume between the images obtained immediately postoperatively and the scans obtained 6 to 8 months after surgery. Ten patients showed an average additional decrease of 11.9% from 6-8 months to 18 months after surgery. Conclusions We studied changes in the volume of the latissimus dorsi muscle after surgery using an eLDMC flap performed after a mastectomy without adjuvant chemotherapy or radiotherapy. In this study, we found that immediate breast reconstruction using a latissimus dorsi muscle flap led to a decrease in muscle volume of up to 50%.
#Mammaplasty #Superficial back muscles #Myocutaneous flap

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참고문헌 (9)

참고문헌 신청
Azzawi K / 2010 / Influence of neoadjuvant chemotherapy on outcomes of immediate breast reconstruction / Plast Reconstr Surg 126:1~11 google schola Mosahebi A / 2007 / Aesthetic outcome of different techniques of reconstruction following nipple-areola-preserving envelope mastectomy with immediate reconstruction / Plast Reconstr Surg 119:796~803 google schola Saulis AS / 2007 / A retrospective analysis of patient satisfaction with immediate postmastectomy breast reconstruction : comparison of three common procedures / Plast Reconstr Surg 119:1669~1676 google schola In Soo Shin / 2012 / The DorsEfficacy of Quilting Sutures and Fibrin Sealant for Prevention of the Seroma in the Extended Latissimus i Flap Donor Site / Archives of Plastic Surgery 39(5):509~513 Crossref Kim H / 2013 / Comparison of morbidity of donor site following pedicled muscle-sparing latissimus dorsi flap versus extended latissimus dorsi flap breast reconstruction / J Plast Reconstr Aesthet Surg 66:640~646 google schola

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