Free Nipple Grafting An Alternative for Patients Ineligible for Nipple-Sparing Mastectomy?

被引：13
作者：
Doren, Erin Louise [1 ]
Kuykendall, Lauren Van Eldik [1 ]
Lopez, Jonathan Jeremiah [1 ]
Laronga, Christine [2 ]
Smith, Paul David [1 ,2 ]
机构：
[1] Univ S Florida, Dept Surg, Div Plast Surg, Tampa, FL 33606 USA
[2] Univ S Florida, H Lee Moffitt Canc Ctr, Dept Womens Oncol, Comprehens Breast Program, Tampa, FL 33682 USA
来源：
ANNALS OF PLASTIC SURGERY | 2014年 / 72卷 / 06期
关键词：
breast reconstruction; nipple-sparing mastectomy; free nipple grafting; nipple reconstruction; breast reduction; IMMEDIATE BREAST RECONSTRUCTION; REDUCTION; MASTOPEXY;
D O I：
10.1097/SAP.0000000000000077
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Nipple-sparing mastectomy is an option for patients fitting oncologic criteria and may improve cosmetic outcomes of breast reconstruction. When anatomical limitations exist, we propose the use of free nipple grafting, akin to reduction mammaplasty. This study is a retrospective review of patients having a nipple-sparing mastectomy and immediate reconstruction using free nipple grafting (N = 36 breasts). Average graft take was 93.6% with no nipples having complete graft loss. Four nipples (11%) lost all projection and 4 nipples experienced significant hypopigmentation requiring tattooing (11%). For those ineligible for nipple-sparing mastectomy due to anatomical limitations, free nipple grafting is an option with acceptable complication rates similar to free nipple grafting in reduction mammaplasties and, more importantly, saves women a subsequent operation for nipple reconstruction.
引用
收藏
页码：S112 / S115
页数：4
相关论文
共 13 条
[1]   Comparison of nipple and areolar sensation after breast reduction by free nipple graft and inferior pedicle techniques [J].
Ahmed, OA ;
Kolhe, PS .
BRITISH JOURNAL OF PLASTIC SURGERY, 2000, 53 (02) :126-129
[2]  
Colen S R, 2001, Aesthet Surg J, V21, P261, DOI 10.1067/maj.2001.116439
[3]   Factors affecting post-operative complications following skin sparing mastectomy with immediate breast reconstruction [J].
Davies, Kerry ;
Allan, Lyra ;
Roblin, Paul ;
Ross, David ;
Farhadi, Jian .
BREAST, 2011, 20 (01) :21-25
[4]   Patient Satisfaction following Nipple-Sparing Mastectomy and Immediate Breast Reconstruction: An 8-Year Outcome Study [J].
Djohan, Risal ;
Gage, Earl ;
Gatherwright, James ;
Pavri, Sabrina ;
Firouz, Jimmy ;
Bernard, Steven ;
Yetman, Randall .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2010, 125 (03) :818-829
[5]   Reduction Mammaplasty Using Bipedicled Dermoglandular Flaps and Free-Nipple Transplantation [J].
Guven, Erdem ;
Aydin, Hulya ;
Basaran, Karaca ;
Aydin, Utkan ;
Kuvat, Samet Vasfi .
AESTHETIC PLASTIC SURGERY, 2010, 34 (06) :738-744
[6]   The Changing Face of Mastectomy: An Oncologic and Cosmetic Perspective [J].
Laronga, Christine ;
Lewis, Jaime D. ;
Smith, Paul D. .
CANCER CONTROL, 2012, 19 (04) :286-294
[7]   Buried Flap Reconstruction after Nipple-Sparing Mastectomy: Advancing toward Single-Stage Breast Reconstruction [J].
Levine, Steven M. ;
Snider, Chelsea ;
Gerald, Grace ;
Tanna, Neil ;
Broer, P. Niclas ;
Stolier, Alan ;
Sadeghi, Ali ;
Allen, Robert J., Sr. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2013, 132 (04) :489E-497E
[8]   Is there still a place for free nipple areolar grafting in breast reduction surgery? A review of cases over a three year period [J].
McGregor, JC ;
Hafeez, A .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2006, 59 (03) :213-218
[9]   Breast Reconstruction Using a Staged Nipple-Sparing Mastectomy following Mastopexy or Reduction [J].
Spear, Scott L. ;
Rottman, Steven J. ;
Seiboth, Laura A. ;
Hannan, Catherine M. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2012, 129 (03) :572-581
[10]   Nipple-Sparing Mastectomy for Prophylactic and Therapeutic Indications [J].
Spear, Scott L. ;
Willey, Shawna C. ;
Feldman, Elizabeth D. ;
Cocilovo, Costanza ;
Sidawy, Mary ;
Al-Attar, Ali ;
Hannan, Catherine ;
Seiboth, Laura ;
Nahabedian, Maurice Y. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 128 (05) :1005-1014
12