Archives of Plastic Surgery

  • 제43권5호
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  • Pages.457-460
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  • 2016
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Immediate Bilateral Breast Reconstruction with Unilateral Deep Superior Epigastric Artery and Superficial Circumflex Iliac Artery Flaps

  • Hansen, Keith S. (Division of Plastic and Reconstructive Surgery, Department of Surgery, Indiana University School of Medicine) ;
  • Gutwein, Luke G. (Department of Anatomical Sciences, Saint George's University School of Medicine) ;
  • Hartman, Brett C. (Division of Plastic and Reconstructive Surgery, Department of Surgery, Indiana University School of Medicine) ;
  • Sood, Rajiv (Division of Plastic and Reconstructive Surgery, Department of Surgery, Indiana University School of Medicine) ;
  • Socas, Juan (Division of Plastic and Reconstructive Surgery, Department of Surgery, Indiana University School of Medicine)
  • 투고 : 2016.03.17
  • 심사 : 2016.06.07
  • 발행 : 2016.09.21
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초록

Autologous breast reconstruction utilizing a perforator flap is an increasingly popular method for reducing donor site morbidity and implant-related complications. However, aberrant anatomy not readily visible on computed tomography angiography is a rare albeit real risk when undergoing perforator flap reconstruction. We present an operative case of a patient who successfully underwent a bilateral breast reconstruction sourced from a unilateral abdominal flap divided into deep superior epigastric artery and superficial circumflex iliac artery flap segments.

키워드

참고문헌

  1. Hallock GG. If based on citation volume, perforator flaps have landed mainstream. Plast Reconstr Surg 2012;130:769e-771e. https://doi.org/10.1097/PRS.0b013e318267d9d4
  2. Rozen WM, Murray AC, Ashton MW, et al. The cutaneous course of deep inferior epigastric perforators: implications for flap thinning. J Plast Reconstr Aesthet Surg 2009;62:986-90. https://doi.org/10.1016/j.bjps.2008.01.007
  3. Rozen WM, Whitaker IS, Ting JW, et al. Deep inferior epigastric artery perforator flap harvest after abdominoplasty with the use of computed tomographic angiography. Plast Reconstr Surg 2012;129:198e-200e. https://doi.org/10.1097/PRS.0b013e3182365e9c
  4. Park YJ, Kim EK, Yun JY, et al. The influence of pfannenstiel incision scarring on deep inferior epigastric perforator. Arch Plast Surg 2014;41:542-7. https://doi.org/10.5999/aps.2014.41.5.542
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  6. Teunis T, Heerma van Voss MR, Kon M, et al. CT-angiography prior to DIEP flap breast reconstruction: a systematic review and meta-analysis. Microsurgery 2013;33:496-502. https://doi.org/10.1002/micr.22119
  7. Cina A, Barone-Adesi L, Rinaldi P, et al. Planning deep inferior epigastric perforator flaps for breast reconstruction: a comparison between multidetector computed tomography and magnetic resonance angiography. Eur Radiol 2013;23:2333-43. https://doi.org/10.1007/s00330-013-2834-x
  8. Rozen WM, Ashton MW, Stella DL, et al. The accuracy of computed tomographic angiography for mapping the perforators of the DIEA: a cadaveric study. Plast Reconstr Surg 2008;122:363-9. https://doi.org/10.1097/PRS.0b013e31817d61ed
  9. Masia J, Clavero JA, Larranaga JR, et al. Multidetector-row computed tomography in the planning of abdominal perforator flaps. J Plast Reconstr Aesthet Surg 2006;59:594-9. https://doi.org/10.1016/j.bjps.2005.10.024
  10. Scott JR, Liu D, Said H, et al. Computed tomographic angiography in planning abdomen-based microsurgical breast reconstruction: a comparison with color duplex ultrasound. Plast Reconstr Surg 2010;125:446-53. https://doi.org/10.1097/PRS.0b013e3181c82d24
  11. Rozen WM, Phillips TJ, Ashton MW, et al. Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and doppler ultrasound. Plast Reconstr Surg 2008; 121(1 Suppl):1-8.
  12. Keys KA, Louie O, Said HK, et al. Clinical utility of CT angiography in DIEP breast reconstruction. J Plast Reconstr Aesthet Surg 2013;66:e61-5. https://doi.org/10.1016/j.bjps.2012.09.025

피인용 문헌

  1. Management of abnormal deep inferior epigastric vessels in microsurgical breast reconstruction: a report of 3 complex cases vol.42, pp.3, 2016, https://doi.org/10.1007/s00238-018-1485-1