The application of tissue expander in immediate breast reconstruction / 中华内分泌外科杂志

ABSTRACT

Objective To investigate the surgical procedure,complication and cosmetic effects of tissue expander in immediate breast reconstruction after nipple sparing mastectomy(NSM).Methods From Jul.2014 to Apr.2018,the clinical data of 23 breast cancer patients (two patients were bilateral) undergoing NSM and expander immediate breast reconstruction were analyzed retrospectively.Results All of the 25 procedures were NSM plus expander based immediate breast reconstruction.The overall complication rate was 12％,includingone seroma,one mild nipple necrosis and one nipple malposition.The median follow up period was 12 months,no grade Ⅲ or Ⅳ contractures were found.Appearance satisfaction was applied to the Harvard scoring system,doctor scorefair(2 cases;8％),good(2 cases;8％),excellent(21 cases;84％);patient scoregood(4 cases;16％),excellent(21 cases;84％).No local recurrence was observed.Conclusion NSM with lateral incision and immediate reconstruction was found to be technically feasible and associated with few complications and satisfactory esthetic outcomes.