脂肪抽吸修整皮瓣法乳房再造术后“猫耳”畸形

Refinement of dog-ear deformity following autologous flap breast reconstruction by liposuction

目的探讨脂肪抽吸法在修整自体皮瓣法乳房再造术后皮瓣供区“猫耳”畸形中的效果。方法选取2012年5月至2014年9月16例自体皮瓣法乳房再造术后的患者，采用脂肪抽吸法对供区皮瓣处遗留“猫耳”畸形行二期修整，术后局部加压1个月，定期随访观察“猫耳”畸形变化情况。结果术后随访6～8个月，“猫耳”畸形隆起外观消失，局部皮肤平整，未发现局部凹陷、感染、皮肤坏死等并发症，患者均对局部外形满意。结论选择性应用脂肪抽吸法对自体皮瓣法乳房再造术后供区皮瓣遗留的“猫耳”畸形进行修整，具有无附加切口瘢痕、操作简便等优点，是一种有效的修整自体乳房再造术后供区“猫耳”畸形的方法。

Objective To investigate the application of liposuction in refining the dog-ear de- formity following autologous flap breast reconstruction. Methods Between May 2012 and September 2016, 16 patients with dog-ear deformity in the donor site following autologous flap breast reconstruc tion were treated with liposuction. All the patients were female with an average age of 40.6 years （range, 32-47 years）. After the operational compression garment was used for at least one month. Regular follow-up was performed after the above operation. Results The follow-up period lasted for 6 to 8 months. The dog-ear deformity was restored to normal appearance. All cases achieved satisfactory results without complications such as local depression, infection, skin necrosis etc. Conclusions For some of the dog-ear deformity following autologous flap breast reconstruction, liposuction is a good and simple method without adjuvant incisions.