Two-Blade Guillotine Technique for Nipple Graft Harvest
Archives of Plastic Surgery
;
: 449-452, 2017.
Article
Dans Anglais
| WPRIM
| ID: wpr-142217
ABSTRACT
The nipple-sharing technique for nipple reconstruction offers excellent tissue matching. The method used for nipple graft harvesting determines the quality of the graft and hence, the success of nipple sharing. Here, we described a guillotine technique wherein the nipple is first transfixed with 2 straight needles to stabilise it. Two No. 11 blades are then inserted in the center and simultaneously swept outwards to amputate the distal portion of the nipple. This technique provides good control, resulting in a very evenly cut base. The recipient bed is deepithelialized thinly, and the nipple graft is inset with interrupted 8-0 nylon sutures under magnification. Being a composite graft, it is protected with splint dressings for 6 weeks, and the dressing is regularly changed by the surgeon. The height of the nipple grafts ranges from 4 to 8 mm. This technique was performed in 9 patients with an average follow-up of 2.9 years (range, 1–4.5 years). Apposition between the nipple graft and its bed is crucial for the success of this technique. When correctly applied, we observed rapid revascularization of the graft.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Attelles
/
Matériaux de suture
/
Bandages
/
Tumeurs du sein
/
Études de suivi
/
Transplants
/
Lambeaux tissulaires libres
/
Autogreffes
/
Méthodes
/
Aiguilles
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Archives of Plastic Surgery
Année:
2017
Type:
Article
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