Patient-reported outcomes of nipple reconstruction with a composite graft from the contralateral nipple
| Title: | Patient-reported outcomes of nipple reconstruction with a composite graft from the contralateral nipple |
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| Authors: | Min Young Lee, Young Seok Kim, Dong Won Lee |
| Source: | Archives of Aesthetic Plastic Surgery, Vol 30, Iss 1, Pp 10-15 (2024) |
| Publisher Information: | Korean Society for Aesthetic Plastic Surgery, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Surgery |
| Subject Terms: | mammaplasty, nipples, composite graft, Surgery, RD1-811 |
| More Details: | Background Local flap techniques are commonly employed for nipple reconstruction. This study was conducted to present the surgical outcomes of composite nipple grafts performed in patients for whom local flap techniques were not suitable. Methods This study included 26 patients who underwent composite nipple grafting between February 2014 and March 2021. Data regarding demographics and complications were obtained through retrospective chart review. Complications, including wound dehiscence and total or partial necrosis, were evaluated by the surgeon. The BREAST-Q survey (as described by Spear et al.) was utilized to investigate patient satisfaction with the reconstructed nipple as well as donor-site morbidity. Results No instances of wound dehiscence, infection, implant exposure, or total necrosis were noted. However, partial necrosis was observed in five patients (19.2%) and healed well with local wound care. The odds ratio (OR) for partial necrosis was not significantly higher in patients who received radiotherapy than in those who did not (OR=1.06, P=0.97). The color and projection of the reconstructed nipple were generally found to be satisfactory. Regarding donor-site morbidity, sensation and contractility were well preserved. Conclusions This study demonstrated that composite nipple grafting is a viable option, as it reduces the size of the relatively large nipple on the normal side while preserving nipple sensation and contractility. This technique can be applied using a thin skin flap that covers the prosthesis following irradiation or a tissue expansion procedure, with minimal risk of compromising the nipple. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2234-0831 2288-9337 |
| Relation: | http://e-aaps.org/upload/pdf/aaps-2023-00962.pdf; https://doaj.org/toc/2234-0831; https://doaj.org/toc/2288-9337 |
| DOI: | 10.14730/aaps.2023.00962 |
| Access URL: | https://doaj.org/article/da53e65fd0c24ceca169bda206b01ad9 |
| Accession Number: | edsdoj.53e65fd0c24ceca169bda206b01ad9 |
| Database: | Directory of Open Access Journals |
| ISSN: | 22340831 22889337 |
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| DOI: | 10.14730/aaps.2023.00962 |
| Published in: | Archives of Aesthetic Plastic Surgery |
| Language: | English |