| Autor: |
Coombs, N. J., Royle, G. T. |
| Rok vydání: |
2000 |
| Předmět: |
|
| Zdroj: |
Annals of the Royal College of Surgeons of England. 81(4) |
| ISSN: |
0035-8843 |
| Popis: |
The size of the skin ellipse for a mastectomy varies between patients and the accurate marking and tailoring of the skin flaps is often learnt by the surgical trainee only with increasing experience. Within the Breast Unit, a mathematical model was calculated to predict the required width of the skin ellipse for a successful mastectomy. Measurements of the straight-line distance from mid-clavicular point to the infra-mammary fold and maximum vertical height of the nipple above the infra-mammary fold were taken with the patient relaxed and supine. A close correlation (r = 0.85) was noted. Further analysis demonstrated a linear relationship between the pre-operative height to which the nipple could be suspended above the infra-mammary fold and the required maximum skin ellipse width (r = 0.87, P < 0.001). This linear relationship is easy to remember and is a useful check to ensure that the skin flaps intended will be just right. This same technique may be applicable to skin ellipses elsewhere. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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