Eur J Plast Surg (2012) 35:833–834 DOI 10.1007/s00238-011-0571-4 CASE REPORT Bilateral pressure sores of the breasts—prevention is better than cure Asif Bhatti & Muhammad Ali Hussain & Raj Ragoowansi Received: 19 November 2010 /Accepted: 7 March 2011 /Published online: 24 May 2011 Springer-Verlag 2011 Introduction size followed by sloughing off of the skin and subcutaneous tissue with eventual progression to complete necrosis of the Pressure-induced ulcers are normally present in non- inferio-lateral poles of both breasts. On examination of both breasts, there were large ambulant patients over bony prominences subjected to bilateral ulcers on the lateral aspect of both breasts. They sustained pressure. They are classified into four types measured approximately 12 cm×10 cm on the left breast depending upon their depth and involvement of the fascia. and 12 cm×14 cm on the right breast located on the lower Anatomical distribution of pressure sores differ between half of the breasts with a necrotic base but sparing the chronically bed-bound and paraplegic patients depending nipple areolar complex. There was granulation at the edges on variation in pressure distribution. The commonest region with no discharge or cellulitis. involved in a supine position is the sacrum and in the sitting In both
European Journal of Plastic Surgery – Springer Journals
Published: Nov 1, 2012
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