A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstruction
Introduction Nipple reconstruction complements breast mound restoration in postmastectomy breast cancer patients. It positively affects patients’ welfare, both in psycho-social and sexual aspects. An immediate nipple reconstruction is an alternative approach to delayed surgery. We describe an origin...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2021-08-01
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| Series: | Archives of Medical Science |
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| Online Access: | https://www.archivesofmedicalscience.com/A-novel-technique-for-immediate-nipple-reconstruction-with-a-rectangular-flap-in,141229,0,2.html |
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| _version_ | 1850032714959290368 |
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| author | Piotr Pluta Janusz H. Piekarski Marek Zadrożny |
| author_facet | Piotr Pluta Janusz H. Piekarski Marek Zadrożny |
| author_sort | Piotr Pluta |
| collection | DOAJ |
| description | Introduction
Nipple reconstruction complements breast mound restoration in postmastectomy breast cancer patients. It positively affects patients’ welfare, both in psycho-social and sexual aspects. An immediate nipple reconstruction is an alternative approach to delayed surgery. We describe an original technique for an immediate nipple reconstruction using a modified rectangular flap.
Material and methods
One hundred and seventeen nipple reconstructions in 112 breast cancer patients were performed. This technique was used during skin-sparing mastectomy, including 104 (88.9%) implants and 13 (11.1%) tissue-expander breast reconstructions. Synthetic meshes covered with titanium supported lower breast poles in 72 (61.5%) implantations; in the remaining cases (38.5%), muscles covered the entire implant. Preoperative chemotherapy was applied in 18.75% of the patients; adjuvant chemo- and hormonal therapy were applied in 29.5% and 74.1% of the patients, respectively. Twenty-four (21.4%) patients were irradiated postoperatively.
Results
In 5 (4.3%) out of 117 procedures, necrosis of the rectangular flap was observed. Twelve months after surgery, 2 (1.7%) cases of loss of projection of the reconstructed nipple were reported. In the twelfth month of observation, of the subgroup of 102 patients with permanent nipple presentation, 93.1% gave a positive opinion regarding the procedure.
Conclusions
The applied immediate nipple reconstruction technique performed during a skin-sparing mastectomy and implant/expander-based breast reconstruction was an effective and safe adjunct curative breast surgery. |
| format | Article |
| id | doaj-art-b0f0e4aabf5f464399ebf6f5c1d2fdc6 |
| institution | DOAJ |
| issn | 1734-1922 1896-9151 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj-art-b0f0e4aabf5f464399ebf6f5c1d2fdc62025-08-20T02:58:32ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512021-08-0121115315910.5114/aoms/141229141229A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstructionPiotr Pluta0Janusz H. Piekarski1Marek Zadrożny2Department of Surgical Oncology and Breast Diseases, Polish Mother’s Memorial Hospital – Research Institute, Lodz, PolandDepartment of Surgical Oncology, Medical University of Lodz, Lodz, PolandDepartment of Surgical Oncology and Breast Diseases, Polish Mother’s Memorial Hospital – Research Institute, Lodz, PolandIntroduction Nipple reconstruction complements breast mound restoration in postmastectomy breast cancer patients. It positively affects patients’ welfare, both in psycho-social and sexual aspects. An immediate nipple reconstruction is an alternative approach to delayed surgery. We describe an original technique for an immediate nipple reconstruction using a modified rectangular flap. Material and methods One hundred and seventeen nipple reconstructions in 112 breast cancer patients were performed. This technique was used during skin-sparing mastectomy, including 104 (88.9%) implants and 13 (11.1%) tissue-expander breast reconstructions. Synthetic meshes covered with titanium supported lower breast poles in 72 (61.5%) implantations; in the remaining cases (38.5%), muscles covered the entire implant. Preoperative chemotherapy was applied in 18.75% of the patients; adjuvant chemo- and hormonal therapy were applied in 29.5% and 74.1% of the patients, respectively. Twenty-four (21.4%) patients were irradiated postoperatively. Results In 5 (4.3%) out of 117 procedures, necrosis of the rectangular flap was observed. Twelve months after surgery, 2 (1.7%) cases of loss of projection of the reconstructed nipple were reported. In the twelfth month of observation, of the subgroup of 102 patients with permanent nipple presentation, 93.1% gave a positive opinion regarding the procedure. Conclusions The applied immediate nipple reconstruction technique performed during a skin-sparing mastectomy and implant/expander-based breast reconstruction was an effective and safe adjunct curative breast surgery.https://www.archivesofmedicalscience.com/A-novel-technique-for-immediate-nipple-reconstruction-with-a-rectangular-flap-in,141229,0,2.htmlimplantsbreastimmediate nipple reconstruction |
| spellingShingle | Piotr Pluta Janusz H. Piekarski Marek Zadrożny A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstruction Archives of Medical Science implants breast immediate nipple reconstruction |
| title | A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstruction |
| title_full | A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstruction |
| title_fullStr | A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstruction |
| title_full_unstemmed | A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstruction |
| title_short | A novel technique for immediate nipple reconstruction with a rectangular flap in implant-based breast reconstruction |
| title_sort | a novel technique for immediate nipple reconstruction with a rectangular flap in implant based breast reconstruction |
| topic | implants breast immediate nipple reconstruction |
| url | https://www.archivesofmedicalscience.com/A-novel-technique-for-immediate-nipple-reconstruction-with-a-rectangular-flap-in,141229,0,2.html |
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