A new technique in nipple reconstruction - Dome technique with double pedicle

被引:7
|
作者
Tatlidede, Soner [1 ]
Yesilada, Aysin Karasoy [1 ]
Egemen, Onur [1 ]
Bas, Lutfu [1 ]
机构
[1] Sisli Etfal Training & Res Hosp, Plast & Reconstruct Surg Clin, Istanbul, Turkey
关键词
nipple; reconstruction; breast;
D O I
10.1097/SAP.0b013e318095a4ed
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: One of the main steps for satisfactory breast reconstruction is symmetrical nipple reconstruction in an ideal position and projection. Various techniques, using cartilage, bone, fat, and even hydroxyapatite crystals, have been proposed to overcome projection loss in late term. Method: We present a new nipple reconstruction technique performed in 6 cases. In this technique, the nipple dome is nourished by a double pedicle and supported by lateral flaps. Nipple projection is secured with 4/0 nylon sutures, which are applied between pedicles. Skin excess is advanced to the donor areas of nipple flaps. Results: All patients were discharged the day after the operation, and nipple flaps healed well. No projection loss was noted in the 8- to 12-month follow-up period. Areola shape and consistency were acceptable. Conclusion: Due to the presence of a double pedicle, this technique is especially helpful for patients with possible circulatory problems. Tension-free closure and rich blood supply to the nipple dome prevent loss of projection in the late term.
引用
收藏
页码:141 / 143
页数:3
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