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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Kono, Hikaru (Department of Plastic and Reconstructive Surgery, Keio University School of Medicine) Ishii, Naohiro (Department of Plastic and Reconstructive Surgery, Keio University School of Medicine) Takayama, Masayoshi (Department of Plastic and Reconstructive Surgery, Nasu Red Cross Hospital) Takemaru, Masashi (Department of Plastic and Reconstructive Surgery, Keio University School of Medicine) Kishi, Kazuo (Department of Plastic and Reconstructive Surgery, Keio University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제4호
발행연도
2018.1
수록면
333 - 339 (7page)

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Background Flap volume is an important factor for obtaining satisfactory symmetry in breast reconstruction with a transverse rectus abdominis myocutaneous (TRAM) free flap. We aimed to develop an easy and simple method to estimate flap volume. Methods We performed a preoperative estimation of the TRAM flap volume in five patients with breast cancer who underwent 2-stage breast reconstruction following an immediate tissue expander operation after a simple mastectomy. We measured the height and width of each flap zone using a ruler and measured the tissue thickness by ultrasound. The volume of each zone, approximated as a triangular or square prism, was then calculated. The zone volumes were summed to obtain the total calculated volume of the TRAM flap. We then determined the width of zone II, so that the calculated flap volume was equal to the required flap volume ($1.2{\times}1.05{\times}$the weight of the resected mastectomy tissue). The TRAM flap was transferred vertically so that zone III was located on the upper side, and zone II was trimmed in the sitting position after vascular anastomosis. We compared the estimated flap width of zone II (=X) with the actual flap width of zone II. Results X was similar to the actual measured width. Accurate volume replacement with the TRAM flap resulted in good symmetry in all cases. Conclusions The volume of a free TRAM flap can be straightforwardly estimated preoperatively using the method presented here, with ultrasound, ruler, and simple calculations, and this technique may help reduced the time required for precise flap tailoring.
#Breast #Diagnostic imaging #Mammaplasty #Mammary glands #Mastectomy

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참고문헌 (13)

참고문헌 신청
Holmstrom H / 1979 / The free abdominoplasty flap and its use in breast reconstruction: an experimental study and clinical case report / Scand J Plast Reconstr Surg 13:423~427 Crossref Wang XL / 2014 / Meta-analysis of the safety and factors contributing to complications of MS-TRAM, DIEP, and SIEA flaps for breast reconstruction / Aesthetic Plast Surg 38:681~691 Crossref Selber JC / 2008 / A head-to-head compar- ison between the muscle-sparing free TRAM and the SIEA flaps: is the rate of flap loss worth the gain in abdominal wall function? / Plast Reconstr Surg 122:348~355 Crossref Rosson GD / 2011 / Three-dimensional computed tomographic angiography to predict weight and volume of deep inferior epigastric artery perforator flap for breast reconstruction / Microsurgery 31:510~6 Crossref Kim H / 2012 / Preoperative computed tomographic angiography of both donor and recipient sites for microsurgical breast reconstruction / Plast Reconstr Surg 130:11e~20e Crossref

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