New technique of immediate nipple reconstruction during
immediate autologous diep or MS-tram breast reconstruction

J 2015

New technique of immediate nipple reconstruction during immediate autologous diep or MS-tram breast reconstruction

HÝŽA, Petr, Libor STREIT, Jiří VESELÝ, Dagmar ŠTAFOVÁ, Petr ŠÍN et. al.

Basic information

Original name

New technique of immediate nipple reconstruction during immediate autologous diep or MS-tram breast reconstruction

Authors

HÝŽA, Petr (203 Czech Republic, guarantor, belonging to the institution), Libor STREIT (203 Czech Republic, belonging to the institution), Jiří VESELÝ (203 Czech Republic, belonging to the institution), Dagmar ŠTAFOVÁ (203 Czech Republic, belonging to the institution) and Petr ŠÍN (203 Czech Republic)

Edition

Annals of Plastic Surgery, Philadelphia, Lippincott Williams & Wilkins, 2015, 0148-7043

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 1.535

RIV identification code

RIV/00216224:14110/15:00082272

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/SAP.0000000000000006

UT WoS

000354888000004

Keywords in English

immediate nipple reconstruction; autologous; DIEP; MS-TRAM; breast reconstruction; BRCA

Abstract

V originále

Reconstruction of the nipple-areola complex is the final step in surgical restoration of the breast. Usually considered a secondary complement to breast reconstruction, nipple-areola creation is ordinarily done after an interval of several months using different techniques involving local flaps or composite graft from the opposite nipple. METHODS: Because the position of the nipple-areola complex is well defined from the outset in skin-sparing mastectomy, the authors propose a new technique of immediate nipple reconstruction using the skin envelope after skin-sparing mastectomy. A modified wise pattern design of skin-sparing mastectomy with 3 local flaps is used. The dermal-fat flaps are lifted and sutured together to form the new nipple. RESULTS: Seventeen patients (average age, 47 years; range, 33-58 years) underwent immediate nipple reconstruction between March 2010 and January 2012 (11 bilateral and 6 unilateral cases). Average follow-up was 13 months (range, 2-25 months). Aesthetic results were evaluated retrospectively from photographic documentation. A minimum average score of 7.2 points was achieved in all evaluated criteria using a 10-point scale. Patient satisfaction with nipple reconstruction was studied by means of a questionnaire. The shape of the nipple received an average of 9.7 points and the position of the nipple 9.9 points on the 10-point scale; 77% of patients were also very satisfied with nipple sensitivity. CONCLUSIONS: One-stage nipple reconstruction with immediate breast reconstruction using our technique of 3 local flaps on skin envelope flap is possible. This simple, reliable, and rapid technique gives stable aesthetic results over time. Reconstruction may be completed sooner and with fewer procedures. Nipple reconstruction should no longer be considered as a secondary complement to immediate breast reconstruction using deep inferior epigastric perforator or muscle-sparing transverse rectus abdominis myocutaneous flap. Our technique is suitable for patients with ptotic or hypertrophic breasts.

Citovat

HÝŽA, Petr, Libor STREIT, Jiří VESELÝ, Dagmar ŠTAFOVÁ and Petr ŠÍN. New technique of immediate nipple reconstruction during immediate autologous diep or MS-tram breast reconstruction. Annals of Plastic Surgery. Philadelphia: Lippincott Williams & Wilkins, 2015, vol. 74, No 6, p. 645-651. ISSN 0148-7043. Available from: https://dx.doi.org/10.1097/SAP.0000000000000006.

@article{1217455,
   author = {Hýža, Petr and Streit, Libor and Veselý, Jiří and Štafová, Dagmar and Šín, Petr},
   article_location = {Philadelphia},
   article_number = {6},
   doi = {http://dx.doi.org/10.1097/SAP.0000000000000006},
   keywords = {immediate nipple reconstruction; autologous; DIEP; MS-TRAM; breast reconstruction; BRCA},
   language = {eng},
   issn = {0148-7043},
   journal = {Annals of Plastic Surgery},
   title = {New technique of immediate nipple reconstruction during immediate autologous diep or MS-tram breast reconstruction},
   url = {https://journals.lww.com/annalsplasticsurgery/Fulltext/2015/06000/New_Technique_of_Immediate_Nipple_Reconstruction.4.aspx},
   volume = {74},
   year = {2015}
}

TY  - JOUR
ID  - 1217455
AU  - Hýža, Petr - Streit, Libor - Veselý, Jiří - Štafová, Dagmar - Šín, Petr
PY  - 2015
TI  - New technique of immediate nipple reconstruction during immediate autologous diep or MS-tram breast reconstruction
JF  - Annals of Plastic Surgery
VL  - 74
IS  - 6
SP  - 645-651
EP  - 645-651
PB  - Lippincott Williams & Wilkins
SN  - 01487043
KW  - immediate nipple reconstruction
KW  - autologous
KW  - DIEP
KW  - MS-TRAM
KW  - breast reconstruction
KW  - BRCA
UR  - https://journals.lww.com/annalsplasticsurgery/Fulltext/2015/06000/New_Technique_of_Immediate_Nipple_Reconstruction.4.aspx
L2  - https://journals.lww.com/annalsplasticsurgery/Fulltext/2015/06000/New_Technique_of_Immediate_Nipple_Reconstruction.4.aspx
N2  - Reconstruction of the nipple-areola complex is the final step in surgical restoration of the breast. Usually considered a secondary complement to breast reconstruction, nipple-areola creation is ordinarily done after an interval of several months using different techniques involving local flaps or composite graft from the opposite nipple. METHODS: Because the position of the nipple-areola complex is well defined from the outset in skin-sparing mastectomy, the authors propose a new technique of immediate nipple reconstruction using the skin envelope after skin-sparing mastectomy. A modified wise pattern design of skin-sparing mastectomy with 3 local flaps is used. The dermal-fat flaps are lifted and sutured together to form the new nipple. RESULTS: Seventeen patients (average age, 47 years; range, 33-58 years) underwent immediate nipple reconstruction between March 2010 and January 2012 (11 bilateral and 6 unilateral cases). Average follow-up was 13 months (range, 2-25 months). Aesthetic results were evaluated retrospectively from photographic documentation. A minimum average score of 7.2 points was achieved in all evaluated criteria using a 10-point scale. Patient satisfaction with nipple reconstruction was studied by means of a questionnaire. The shape of the nipple received an average of 9.7 points and the position of the nipple 9.9 points on the 10-point scale; 77% of patients were also very satisfied with nipple sensitivity. CONCLUSIONS: One-stage nipple reconstruction with immediate breast reconstruction using our technique of 3 local flaps on skin envelope flap is possible. This simple, reliable, and rapid technique gives stable aesthetic results over time. Reconstruction may be completed sooner and with fewer procedures. Nipple reconstruction should no longer be considered as a secondary complement to immediate breast reconstruction using deep inferior epigastric perforator or muscle-sparing transverse rectus abdominis myocutaneous flap. Our technique is suitable for patients with ptotic or hypertrophic breasts.
ER  -

HÝŽA, Petr, Libor STREIT, Jiří VESELÝ, Dagmar ŠTAFOVÁ and Petr ŠÍN. New technique of immediate nipple reconstruction during immediate autologous diep or MS-tram breast reconstruction. \textit{Annals of Plastic Surgery}. Philadelphia: Lippincott Williams \&{} Wilkins, 2015, vol.~74, No~6, p.~645-651. ISSN~0148-7043. Available from: https://dx.doi.org/10.1097/SAP.0000000000000006.

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