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相關文獻
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題名 | A Strategic Approach to Enhancing the Efficacy of Volume Augmentation in Poland's Syndrome Using Microautologous Fat Transplantation--A Case Report=利用精微自體脂肪移植來治療波蘭症候群以增強移植體積的功效--病例報告 |
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作者姓名(中文) | 蔣春福; 羅源榮; 潘俊豪; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 25:4 2016.12[民105.12] |
頁次 | 頁339-347 |
分類號 | 416.17 |
關鍵詞 | 波蘭症候群; 脂肪移植; 精微自體脂肪移植; Poland's syndrome; Fat grafts; MAFT; MAFT-Gun; |
語文 | 英文(English) |
中文摘要 | 背 景:波蘭症候群臨床表現為單側胸大肌和手部異常(指畸形)及發育不全。患者手術的適應症是根據波蘭症候群是否造成功能和美學上的問題,患者的年齡和性別也必需列入手術決定因素。目 的:我們提出一個患有波蘭症候群的病患利用精微自體脂肪移植(MAFT)的手術治療方式。過去的文獻大多利用傳統的自體脂肪移植的方式,很少利用這種技術來應用於波蘭症候群的病患增加胸部的體積。因此在這文章介紹一個案使用MAFT 技術來增大胸壁的體積。方 法:利用精微自體脂肪移植(MAFT)來治療一位60 歲患有輕度波蘭症候群的男性病患,目的為了改善他胸部凹陷以及不平整的外觀。我們利用一種叫MAFT-Gun 的脂肪注射槍來進行脂肪移植。結 果:在兩次的脂肪移植手術後,病患左側胸部的凹陷明顯改善,雙側胸部很起來很對稱。並沒有發生手術相關或脂肪供應區的併發症。病患對於胸部的外觀及輪廓的改善覺得很滿意。結 論:精微自體脂肪注射可以用來治療不同程度的波蘭症候群。它可以在局部麻醉下進行,也可以單獨施行,或跟其他治療波蘭症候群的手術方式併用。它可以達到很好的美學改善,而又不產生很高的併發症。 |
英文摘要 | Background: Poland's syndrome is classically defined as ipsilateral agenesis of the pectoralis major muscle and can be associated with hand anomalies (syndactyly). Surgical intervention for patients with Poland's syndrome is determined according to functional and aesthetic problems as well as patients' age and sex. Given its etiology and vascular insult during embryogenesis, fat grafting and graft take can be suboptimal and often requires multiple repeated procedures. Aim and Objectives: We share our experience using microautologous fat transplantation (MAFT) on the treatment of a patient with Poland's syndrome. There is a paucity of literature describing this technique for volume augmentation in a patient with Poland's syndrome and most cases described utilize conventional fat grafting techniques. This hence represents a case of chest wall augmentation using the MAFT technique. Methods: A 61-year-old man with mild form of Poland's syndrome was treated with microautologous fat transplantation for irregular and sunken appearance of left chest wall. A MAFT-Gun device was used for fat injection. Results: The sunken appearance of the left chest wall was significantly improved after 2 sessions of autologous fat injections. Bilateral chest wall appeared symmetric in comparison. There was no surgical complication or donor site morbidity. The patient was satisfied with the good aesthetic outcome. Conclusion: Microautologous fat transplantation can form one of the treatment modalities for Poland's syndrome with various degrees of deformity. It can be used alone orcombined with other reconstructive strategies. It provides a significantly improved aesthetic outcome associated with low morbidity and high efficacy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。