Reduction mammaplasty combined with pectoralis major muscle flaps for median sternotomy wound closure.
Abstract
Sternal wound infection can be a problem in patients who undergo coronary artery bypass graft surgery and is usually treated with local flaps. Severe macromastia can cause a large wound dehiscence by inferolateral tension on the skin sutures. Chest wall reconstruction can be achieved by combining muscle flap coverage with reduction mammaplasty. Two musculoglandulocutaneous flaps can be designed, using two superiorly based pectoralis muscle flaps vascularising the medial portion of the glandular breast tissue. The flaps are advanced medially to the sternectomy site and the breast reduction is then completed by adjusting the lateral breast pillar to the medial breast pillar. A case in which this technique was successfully used is reported.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | breast
|
유방 | dict | 4 | |
| 시술 | mammaplasty
|
유방성형술 | dict | 2 | |
| 시술 | breast reduction
|
유방성형술 | dict | 1 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 해부 | pectoralis
|
scispacy | 1 | ||
| 해부 | graft
|
scispacy | 1 | ||
| 해부 | inferolateral
|
scispacy | 1 | ||
| 해부 | skin
|
scispacy | 1 | ||
| 해부 | muscle
|
scispacy | 1 | ||
| 해부 | medial
|
scispacy | 1 | ||
| 합병증 | muscle flaps
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | flaps
|
scispacy | 1 | ||
| 합병증 | wound infection
|
감염 | dict | 1 | |
| 합병증 | wound dehiscence
|
상처열개 | dict | 1 | |
| 질환 | Sternal wound infection
|
scispacy | 1 | ||
| 질환 | macromastia
|
C0020565
Hypertrophy of Breast
|
scispacy | 1 | |
| 질환 | dehiscence
|
C0149663
Dehiscence
|
scispacy | 1 | |
| 질환 | glandular breast tissue
|
scispacy | 1 | ||
| 질환 | medial breast pillar
|
scispacy | 1 | ||
| 기타 | coronary artery
|
scispacy | 1 | ||
| 기타 | wall
|
scispacy | 1 | ||
| 기타 | flaps
|
scispacy | 1 | ||
| 기타 | lateral breast pillar
|
scispacy | 1 |
MeSH Terms
Aged; Coronary Artery Bypass; Female; Humans; Mammaplasty; Pectoralis Muscles; Sternum; Surgical Flaps; Surgical Wound Dehiscence
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