Reconstructive mammaplasty with the superficial inferior epigastric artery flaps based on body mass index and computed tomography angiography data
10.3760/cma.j.cn114453-20200604-00338
- VernacularTitle:体质量指数及CT血管成像数据辅助腹壁浅动脉皮瓣乳房再造的研究
- Author:
Xiaoyu ZHANG
1
;
Dali MU
;
Jie LUAN
;
Yan YANG
;
Wandi LI
;
Yan LIN
;
Haoran LI
;
Yu YAO
Author Information
1. 中国医学科学院北京协和医学院整形外科医院乳房整形美容中心 100144
- Keywords:
Surgical flaps;
Superficial inferior epigastric artery;
Body mass index;
Angiography, computed tomography;
Breast reconstruction
- From:
Chinese Journal of Plastic Surgery
2020;36(11):1210-1214
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish the connection between the superficial inferior epigastric artery (SIEA) system and patients’ body mass index (BMI) statistics. It could provide a reference for the tendentious choice of preoperative reconstruction scheme.Methods:Female patients with unilateral breast cancer after radical mastectomy were included in this study from August 2008 to June 2018 in the Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College. The computed tomography angiography data before reconstruction were analyzed by Onis 2.5 software, and the SIEA diameter was measured. Pearson correlation analysis was performed for the correlation between the SIEA diameter and BMI.Results:A total of 19 patients, aged (43.0±8.1) years, ranging from 30 to 60 years old, with height of (1.61±0.05) m, body mass of (62.9±8.6) kg and BMI of (24.4±3.3) kg/m 2 were included. There were 20 sides of abdominal wall in 19 patients identified with SIEA, of which 18 cases were unilateral and one case was bilateral. The diameter of SIEA was (1.75±0.54) mm, which was high linear correlation with BMI ( r=0.85, P<0.001); when BMI ≥24 kg/m 2, SIEA≥1.5 mm could be satisfied. Conclusions:Preoperative CTA data of the patients with no previous potential factors affecting the diameter of SIEA indicated that there was SIEA on the donor side. When BMI was no less than 24 kg/m 2, the application of the SIEA flap in breast reconstruction could be a theoretical option worthy of trying.
