Complete coverage of a tissue expander by a musculofascial pocket including the sternalis muscle during breast reconstruction
نویسندگان
چکیده
Naohiro Ishii, Yusuke Shimizu, Jiro Ando, Michiko Harao, Masaru Takemae, Kazuo Kishi Department of Plastic and Reconstructive Surgery, Tochigi Cancer Center, Tochigi; Department of Plastic and Reconstructive Surgery, University of the Ryukyus Hospital, Okinawa; Department of Breast Surgery, Tochigi Cancer Center, Tochigi; Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan
منابع مشابه
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1. Schulman MR, Chun JK. The conjoined sternalispectoralis muscle flap in immediate tissue expander reconstruction after mastectomy. Ann Plast Surg 2005;55:672-5. 2. Barlow RN. The sternalis muscle in American whites and Negroes. Anat Rec 1934;61:416-26. 3. Alani HA, Balalaa N. Complete tissue expander coverage by musculo-fascial flaps in immediate breast mound reconstruction after mastectomy. ...
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PURPOSE: Multiple studies demonstrate that traditional submuscular tissue expander coverage offers the best protection against implant exposure but restricts lower pole expansion. Recognizing these limitations, the authors present a pectoralis major splitting approach for complete submuscular coverage in high-risk patients or those with ischemic mastectomy skin flaps. The pectoralis major muscl...
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PURPOSE: Multiple studies demonstrate that traditional submuscular tissue expander coverage offers the best protection against implant exposure but restricts lower pole expansion. Recognizing these limitations, the authors present a pectoralis major splitting approach for complete submuscular coverage in high-risk patients or those with ischemic mastectomy skin flaps. The pectoralis major muscl...
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OBJECTIVE To preserve the mastectomy skin envelope in select patients destined to receive radiation following mastectomy, we performed immediate tissue expander-implant reconstruction with a subpectoral tissue expander and an inferolateral AlloDerm hammock for complete implant coverage. We hypothesized that the AlloDerm hammock may allow greater intraoperative volume expansion and potentially a...
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