Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast Surgery
Background:. Oncoplastic breast surgery (OBS) is a form of breast conservation surgery that integrates cancer removal with the reconstruction of the breast and immediate contralateral symmetry surgery followed by adjuvant radiation. This study aimed to identify differences in nipple–areolar complex...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-03-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006603 |
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| author | Austin Olano, MD John Chou, BS Emma Lampropoulos, MD, MPH Jeffrey Aalberg, MD, MPH Michael Jonczyk, MD, MS Salvatore Nardello, DO, MBS Sarah Persing, MD, MPH Abhishek Chatterjee, MD, MBA |
| author_facet | Austin Olano, MD John Chou, BS Emma Lampropoulos, MD, MPH Jeffrey Aalberg, MD, MPH Michael Jonczyk, MD, MS Salvatore Nardello, DO, MBS Sarah Persing, MD, MPH Abhishek Chatterjee, MD, MBA |
| author_sort | Austin Olano, MD |
| collection | DOAJ |
| description | Background:. Oncoplastic breast surgery (OBS) is a form of breast conservation surgery that integrates cancer removal with the reconstruction of the breast and immediate contralateral symmetry surgery followed by adjuvant radiation. This study aimed to identify differences in nipple–areolar complex (NAC) outcomes by comparing the oncological breast (which also receives adjuvant radiation) to the contralateral breast following OBS.
Methods:. Interviews containing validated nipple-focused questions were conducted on 28 patients (encompassing 56 breasts) who had undergone OBS with immediate contralateral symmetry surgery followed by adjuvant radiation. Outcomes were ranked on Likert scales. A Wilcoxon signed-rank test was used to analyze the results for differences in rankings between the oncological breast and the contralateral symmetry breast.
Results:. There were no statistically significant differences in patient satisfaction with nipple height or NAC shape when comparing breasts having undergone oncological resection versus symmetry surgery. A majority of patients reported being satisfied with the look of the NAC on the oncological breast. There was less reported nipple sensation on the oncological breast compared with the symmetry breast; however, there was no statistically significant difference in patient satisfaction with nipple sensation.
Conclusions:. Nipple–areolar outcomes following OBS and adjuvant radiation are favorable in terms of patient sensation and appearance particularly when compared with the contralateral breast undergoing symmetry reduction surgery. These findings can enhance the preoperative counseling of patients in the breast cancer surgical decision-making process. |
| format | Article |
| id | doaj-art-df0ee35a56404dc9bc766e0bacce1e4b |
| institution | OA Journals |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-df0ee35a56404dc9bc766e0bacce1e4b2025-08-20T02:30:06ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-03-01133e660310.1097/GOX.0000000000006603202503000-00090Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast SurgeryAustin Olano, MD0John Chou, BS1Emma Lampropoulos, MD, MPH2Jeffrey Aalberg, MD, MPH3Michael Jonczyk, MD, MS4Salvatore Nardello, DO, MBS5Sarah Persing, MD, MPH6Abhishek Chatterjee, MD, MBA7From the * Division of Plastic and Reconstructive Surgery, Tufts Medical Center, Boston, MA† Tufts University School of Medicine, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Tufts Medical Center, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Tufts Medical Center, Boston, MA‡ Department of Plastic Surgery, Broward Health Medical Center, Fort Lauderdale, FL.From the * Division of Plastic and Reconstructive Surgery, Tufts Medical Center, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Tufts Medical Center, Boston, MAFrom the * Division of Plastic and Reconstructive Surgery, Tufts Medical Center, Boston, MABackground:. Oncoplastic breast surgery (OBS) is a form of breast conservation surgery that integrates cancer removal with the reconstruction of the breast and immediate contralateral symmetry surgery followed by adjuvant radiation. This study aimed to identify differences in nipple–areolar complex (NAC) outcomes by comparing the oncological breast (which also receives adjuvant radiation) to the contralateral breast following OBS. Methods:. Interviews containing validated nipple-focused questions were conducted on 28 patients (encompassing 56 breasts) who had undergone OBS with immediate contralateral symmetry surgery followed by adjuvant radiation. Outcomes were ranked on Likert scales. A Wilcoxon signed-rank test was used to analyze the results for differences in rankings between the oncological breast and the contralateral symmetry breast. Results:. There were no statistically significant differences in patient satisfaction with nipple height or NAC shape when comparing breasts having undergone oncological resection versus symmetry surgery. A majority of patients reported being satisfied with the look of the NAC on the oncological breast. There was less reported nipple sensation on the oncological breast compared with the symmetry breast; however, there was no statistically significant difference in patient satisfaction with nipple sensation. Conclusions:. Nipple–areolar outcomes following OBS and adjuvant radiation are favorable in terms of patient sensation and appearance particularly when compared with the contralateral breast undergoing symmetry reduction surgery. These findings can enhance the preoperative counseling of patients in the breast cancer surgical decision-making process.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006603 |
| spellingShingle | Austin Olano, MD John Chou, BS Emma Lampropoulos, MD, MPH Jeffrey Aalberg, MD, MPH Michael Jonczyk, MD, MS Salvatore Nardello, DO, MBS Sarah Persing, MD, MPH Abhishek Chatterjee, MD, MBA Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast Surgery Plastic and Reconstructive Surgery, Global Open |
| title | Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast Surgery |
| title_full | Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast Surgery |
| title_fullStr | Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast Surgery |
| title_full_unstemmed | Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast Surgery |
| title_short | Nipple Sensation and Nipple–Areolar Complex Outcomes After Oncoplastic Breast Surgery |
| title_sort | nipple sensation and nipple areolar complex outcomes after oncoplastic breast surgery |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006603 |
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