Long-term Result of Nipple Reconstruction Using Skate Flap after Breast Reconstruction
Journal of the Korean Society of Plastic and Reconstructive Surgeons
;
: 401-407, 2011.
Article
in English
| WPRIM
| ID: wpr-224762
ABSTRACT
PURPOSE:
A number of flap for nipple reconstruction have been well described in the literature. However, most of these techniques do not permit the reconstruction of a projecting nipple and all are hampered to some extent by long-term loss of nipple projection. The objective of this study is to evaluate the long-term result and clinical efficacy of nipple reconstruction using skate flap technique after breast reconstruction.METHODS:
A retrospective chart review was carried out on 23 patients who underwent 25 nipple reconstructions. In those patients with greater than 10 mm nipple projection, reconstruction with skate flap and full-thickness skin graft and/or tattooing was performed. Maintenance of nipple projection was then carefully assessed over one-year follow-up. The following factors were analyzed type of breast reconstruction, type of areola reconstruction, follow-up period, decrease in nipple projection, complication, and whether secondary nipple reconstruction was necessary and/or performed.RESULTS:
Breast reconstructions were performed in 17 patients with free transverse rectus abdominis musculocutaneous flap, 3 patients with extended latissimus dorsi musculocutaneous flap, and 3 patients with expander and implant. The mean follow-up after nipple reconstruction was 17 months. Mean loss of projection were 17.0 +/- 13.99%, 25.0 +/- 12.70%, 30.0 +/- 12.57% and 30.8 +/- 12.49% at 3, 6, 9 months and over one year, respectively. The greatest decrease in projection was noted in the first 3 months following surgery.CONCLUSION:
These results indicated that nipple reconstruction with skate flap showed about 70 percent of the projection achieved over one year postoperation. Therefore, the skate flap may be a reliable method of nipple reconstruction in those patients with greater than 10 mm nipple projection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Tattooing
/
Breast
/
Retrospective Studies
/
Follow-Up Studies
/
Mammaplasty
/
Rectus Abdominis
/
Transplants
/
Nipples
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Year:
2011
Type:
Article
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