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
- 2013.1
- 수록면
- 761 - 765 (5page)
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초록· 키워드
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Background Partially resecting ribs of the recipient site to facilitate easy anastomosis of the internal mammary vessels to free flaps during breast reconstruction can cause chest wall pain or deformities. To avoid this, the intercostal perforating branches of the internal mammary vessels can be used for anastomosis. The purpose of this study was to investigate the location and size of the internal mammary perforator vessels based on clinical intraoperative findings and to determine their reliability as recipient vessels for breast reconstruction with microsurgical free tissue transfer. Methods Twelve patients were preoperatively screened for the presence of internal mammary perforators using Doppler tracing. After modified radical mastectomy was performed by a general surgeon, the location and size of the internal mammary perforator vessels were microscopically investigated. The external diameter was examined using a vessel-measuring gauge from a mechanical coupling device, and the distance from the mid-sternal line to the perforator was also measured. Results The largest arterial perforator averaged 1.5 mm, and the largest venous perforator averaged 2.2 mm. Perforators emerging from the second intercostal space had the largest average external diameter; the second intercostal space also had the largest number of perforators arising from it. The average distance from the mid-sternal line to the perforator was 20.2 mm. Conclusions Internal mammary perforators presented consistent and reliable anatomy in this study. Based on these results, the internal mammary perforators appear to have a suitable diameter for microvascular anastomosis and should be considered as an alternative recipient vessel to the internal mammary vessel.
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참고문헌 (13)
참고문헌 신청
Clark CP / 1997 / An anatomic study of the internal mammary veins: clinical implications for free-tissue-transfer breast reconstruction / Plast Reconstr Surg 99:400~404
Arnez ZM / 1995 / Anatomy of the internal mammary veins and their use in free TRAM flap breast reconstruction / Br J Plast Surg 48:540~545
Dupin CL / 1996 / The internal mammary artery and vein as a recipient site for free-flap breast reconstruction: a report of 110 consecutive cases / Plast Reconstr Surg 98:685~689
Ninkovic M / 1995 / Internal mammary vessels: a reliable recipient system for free flaps in breast reconstruction / Br J Plast Surg 48:533~539
Haywood RM / 2003 / Autologous free tissue breast reconstruction using the internal mammary perforators as recipient vessels / Br J Plast Surg 56:689~691
Arnez ZM / 1995 / Anatomy of the internal mammary veins and their use in free TRAM flap breast reconstruction / Br J Plast Surg 48:540~545
Dupin CL / 1996 / The internal mammary artery and vein as a recipient site for free-flap breast reconstruction: a report of 110 consecutive cases / Plast Reconstr Surg 98:685~689
Ninkovic M / 1995 / Internal mammary vessels: a reliable recipient system for free flaps in breast reconstruction / Br J Plast Surg 48:533~539
Haywood RM / 2003 / Autologous free tissue breast reconstruction using the internal mammary perforators as recipient vessels / Br J Plast Surg 56:689~691
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