Treatment of Polyacrylamide Hydrogel Injected Breast Deformity with Subcutaneous Mastectomy and Immediate Bilateral Pedicle TRAM Flaps Reconstruction

乳房切除合併立即重建治療聚丙烯胺水膠注射隆乳之乳房變形

吳逸騹(I-Chi Wu) ； 陳錫根(Shyi-Gen Chen)

《中華民國整形外科醫學會雜誌》 18卷4期 (2009/12) Pp. 403-408

https://doi.org/10.7096/JPSA.200912.0403

摘要

背景：
近年來在國內可見部分病患至東歐國家及中國接受聚丙烯胺水膠注射隆乳，且有併發症產生。本文即討論一乳房變形接受重建之案例，期能使大家注意對此種隆乳方法之併發症。
目的及目標：
藉由雙側腹直肌橫皮瓣重建乳房，期能解除病患變形問題。
材料及方法：
我們以一位注射隆乳術後之女性，接受皮下乳房切除術後，以雙側腹直肌橫皮瓣重建雙側乳房。
結果：
以雙側腹直肌橫皮瓣重建之乳房經四年追蹤後有良好外觀，病患滿意度相當良好。
結論：
回顧文獻記載，聚丙烯胺水膠注射隆乳之併發症相當多，故作者建議應避免使用聚丙烯胺水膠注射來進行隆乳。在處理之前接受注射隆乳之併發症時，以雙側腹直肌橫皮瓣同時進行乳房重建為一種合理選擇。

並列摘要

Background:
Polyacrylamide hydrogel had been used for injected breast augmentation in China by unauthorized physicians for more than 10 years. The complications were noted recently. Injected breasts with complications present a difficult and challenging problem in Taiwan. We herein provided a solution for treating the problem.
Aim and Objectives:
We used the method to treat the injected breasts with severe symptomatic complication.
Materials and Methods:
Using subcutaneous mastectomy combined with immediate bilateral deepithelialized pedicle transverse rectus abdominis myocutaneous (TRAM) flap for breast reconstruction.
Results:
There was no immediate intraoperative complication or donor site morbidity. After 4 year follow-up, the patient was satisfied with cosmetic outcome.
Conclusion:
Once the injected breasts became symptomatic, subcutaneous mastectomy and immediate reconstruction with bilaterally devided TRAM flaps is a reasonable treatment choice.

並列關鍵字

augmentation mammaplasty ； polyacrylamide hydrogel