Immediate breast and nipple reconstruction with the latissimus dorsi myocutaneous flap / 中华整形外科杂志
Chinese Journal of Plastic Surgery
;
(6): 89-92, 2014.
Article
in Chinese
| WPRIM
| ID: wpr-343474
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the feasibility of immediate breast and nipple-areola reconstruction after skin-sparing mastectomy.</p><p><b>METHODS</b>24 patients who received skin-sparing mastectomy underwent immediate breast reconstruction with or without breast implants. The nipple-areola complex is also reconstructed with the skin paddle of the latissimus dorsi flap in one stage.</p><p><b>RESULTS</b>All the latissimus dorsi myocutaneous flaps survived completely. Partial necrosis happened in two reconstructed nipples which healed after dress changing. The follow-up period ranged from 6 to 12 months. 3 patients presented with capsular contracture (Baker I), with no necessary of surgical revision. The retraction rate of reconstructed nipples projection is 35.4% at 6 months postoperatively and 38.6% at 12 months postoperatively. 91.7% of patients were satisfied or very satisfied with the breast shape, while 83.3% were satisfied or very satisfied with the breast volume. All the patients considered the reconstructed nipple very good, while 91.6% were satisfied with the nipple projection. 91.7% considered immediate nipple reconstruction to be very important, and 8.3% considered it to be important. 66.7% considered the new breast could replace the breast they had lost, and 8.3% considered that it could not.</p><p><b>CONCLUSION</b>For skin-sparing mastectomy, immediate breast and nipple reconstruction can achieve good aesthetic results.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Psychology
/
General Surgery
/
Transplantation
/
Breast Neoplasms
/
Mammaplasty
/
Esthetics
/
Superficial Back Muscles
/
Myocutaneous Flap
/
Methods
/
Nipples
Limits:
Female
/
Humans
Language:
Chinese
Journal:
Chinese Journal of Plastic Surgery
Year:
2014
Type:
Article
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