SU976971A1 - Method of correcting for postborn deformations of mammary glands - Google Patents

Description

(54) METHOD OF ELIMINATING POST-BRAIN DEFORMATIONS OF THE BREAST GLAND

The invention relates to medicine, namely to traumatology. There is a known method for eliminating post-burn deformities of the mammary glands by forming an OlT skin flap from the medial side of the mammary glands 1. The method for eliminating Cicatricial deformities of the mammary glands, which consists in making oval incisions at the level of the supposed nipples, mobilizing the breasts and free skin plastics 2, is closest to the proposed method. However, the known methods do not allow the formation of symmetrical lower poles of the mammary glands from local tissues, which leads to a relapse of the deformity, since the transplanted skin graft contracts, flattening the lower poles of the mammary glands. The purpose of the invention is the symmetrical formation of the mammary glands and the prevention of the recurrence of deformities. The goal is achieved by the fact that, in carrying out the method of eliminating post-burn deformities of the mammary glands by making oval incisions on the chest, mobilizing the mammary glands followed by skin grafting, the oval incisions are made below the estimated boundaries of the mammary glands, forming the lower poles of the mammary glands by excision of triangular flaps on cicatricial modified skin with a base on the line of oval cuts, protect the skin defects formed after excision of the flaps, then transplant the skin tract Transplant on the skin defect in the area of oval incisions. The method is carried out as follows. Oval cuts are made 4-5 cm below the estimated lower border of the mammary glands, taking into account their formation at the natural level with a reserve of scarred skin and subcutaneous tissue 5-6 cm. Mobilized spreading mammary glands are carried out together with fatty tissue and displace these formations. up under the formed flaps. If the nipples are located asymmetrically or remain below the incision line, they are mobilized on the feeding leg and move them to a natural place with oval skin circles around them.

Synthetic excision of 3-4 triangular cicatricial scabs with bases on the incision line is performed. The wound defects at the site of the excised flaps are sutured, thereby forming cicatricial skin-fat bras, in which the glandular tissue and fatty tissue is suspended. The resulting skin defect on the chest is then replaced with a skin graft.

Used in the proposed method, combined skin plastics helps prevent recurrence of deformities of the mammary glands, since the skin graft is applied only to the chest and not to the chest and gland at the same time.

Excision of the triangular cicatricial-skin flaps reduces the circumference of the lower pole of the mammary glands and thereby gives them the necessary spherical shape.

The method of eliminating post-burned deformations of the breast glands allows one to eliminate the significant asymmetry of the breast glands by excising more triangular flaps over a longer incision line.

The proposed method allows symmetrical mobilization of the nipples with the surrounding gland tissue, which

allows you to achieve a good cosmetic and functional result.

Claims (2)

1. USSR author's certificate number 731960, cl. A 61 B 17/00, 19.05.78. 2.Udenich V.V. Treatment of burns and their consequences. Atlas. M., "Medicine, 1980, p. 146-150 (prototype).