Yıl: 2009 Cilt: 26 Sayı: 2 Sayfa Aralığı: 130 - 133 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases

Öz:
Amaç: Toraks duvarı defektlerinin rekonstrüksiyonunda miyokütan flepler kullanılmaktadır. Fakat bazı hastalarda bu fleplerin kullanımı uygun olmayabilir. Eğer hasta bayansa, meme dokusunun lateral veya medial pedikülleri korunarak ilerletme flebi şeklinde rekonstrüksiyon amaçlı kullanılabileceğini göstermek amacındayız.Hastalar ve Yöntemler: Çalışmamıza göğüs cerrahisine kanser nüksü nedeniyle başvurmuş dört kadın hasta dahil edildi (50 yaşında malin timoma, 60 yaşında sol akciğer kanseri, 41 yaşında kondrosarkom, 49 yaşında intraduktal karsinom nüksü). Meme dokusu lateral veya medial pediküllerine baze ilerletme flebi olarak kullanılabilmektedir.Bulgular: Tüm hastalarda rekonstrüksiyon meme dokusunun medial veya lateral pediküllerine baze ilerletme flebi şeklinde kullanımıyla yapılmıştır. Takiplerinde flep dolaşımıyla ilgili bir soruna veya nekroza rastlanmamıştır. İlk üç hasta primer hastalıkları nedeniyle kaybedilmiştir, dördüncü hasta onkoloji tarafından takiptedir ve lokal nüks yoktur.Sonuç: Seçilmiş kadın olgularda zengin kanlanması ve kolay ulaşılabilir olması nedeniyle meme dokusu rekonstrüksiyon için iyi bir seçenek olabilmektedir.
Anahtar Kelime: Toraks duvarı Meme Kadın Orta yaşlı Cerrahi flepler

Konular: Genel ve Dahili Tıp

Komplike kadın olgularda toraks duvarı defektlerinin meme ilerletme flepleri ile onarımı

Öz:
Objectives: There are several myocutaneous flaps used for chest wall reconstruction. However, in some cases, usage of these flaps is not suitable. If the patient is female, we aimed to show that use of the breast tissue while saving its lateral and medial pedicles is an option for the reconstruction.Patients and Methods: Our study included four female patients who presented with recurrence of cancer (50-year-old with malign thymoma, 60-year-old with left lung cancer, 41-year-old with chondrosarcoma, and 49-year-old with a history of intraductal carcinoma). Mammary tissue can be elevated either to its lateral or medial pedicles and used as an advancement flap.Results: Breast tissue was used for the reconstruction as an advancement flap on either its lateral or medial pedicles on all patients. In the follow-up of the patients, there was no circulatory problem of the flaps or necrosis. The first three patients have died due to their primary diseases. The fourth patient is being followed up by the oncology department with no local recurrence yet.Conclusion: In selected female patients, breast tissue is a good choice for reconstruction due to its rich blood supply and easy accessibility.
Anahtar Kelime: Female Middle Aged Surgical Flaps Thoracic Wall Breast

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA AYDIN A, GÜVEN E, KEKLİK B, BAŞARAN K, ÖZKAN B (2009). Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. , 130 - 133.
Chicago AYDIN ATAKAN,GÜVEN Erdem,KEKLİK Barış,BAŞARAN Karaca,ÖZKAN Berker Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. (2009): 130 - 133.
MLA AYDIN ATAKAN,GÜVEN Erdem,KEKLİK Barış,BAŞARAN Karaca,ÖZKAN Berker Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. , 2009, ss.130 - 133.
AMA AYDIN A,GÜVEN E,KEKLİK B,BAŞARAN K,ÖZKAN B Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. . 2009; 130 - 133.
Vancouver AYDIN A,GÜVEN E,KEKLİK B,BAŞARAN K,ÖZKAN B Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. . 2009; 130 - 133.
IEEE AYDIN A,GÜVEN E,KEKLİK B,BAŞARAN K,ÖZKAN B "Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases." , ss.130 - 133, 2009.
ISNAD AYDIN, ATAKAN vd. "Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases". (2009), 130-133.
APA AYDIN A, GÜVEN E, KEKLİK B, BAŞARAN K, ÖZKAN B (2009). Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. Trakya Üniversitesi Tıp Fakültesi Dergisi, 26(2), 130 - 133.
Chicago AYDIN ATAKAN,GÜVEN Erdem,KEKLİK Barış,BAŞARAN Karaca,ÖZKAN Berker Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. Trakya Üniversitesi Tıp Fakültesi Dergisi 26, no.2 (2009): 130 - 133.
MLA AYDIN ATAKAN,GÜVEN Erdem,KEKLİK Barış,BAŞARAN Karaca,ÖZKAN Berker Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. Trakya Üniversitesi Tıp Fakültesi Dergisi, vol.26, no.2, 2009, ss.130 - 133.
AMA AYDIN A,GÜVEN E,KEKLİK B,BAŞARAN K,ÖZKAN B Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. Trakya Üniversitesi Tıp Fakültesi Dergisi. 2009; 26(2): 130 - 133.
Vancouver AYDIN A,GÜVEN E,KEKLİK B,BAŞARAN K,ÖZKAN B Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases. Trakya Üniversitesi Tıp Fakültesi Dergisi. 2009; 26(2): 130 - 133.
IEEE AYDIN A,GÜVEN E,KEKLİK B,BAŞARAN K,ÖZKAN B "Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases." Trakya Üniversitesi Tıp Fakültesi Dergisi, 26, ss.130 - 133, 2009.
ISNAD AYDIN, ATAKAN vd. "Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases". Trakya Üniversitesi Tıp Fakültesi Dergisi 26/2 (2009), 130-133.