Nipple-sparing mastectomy through periareolar incision with immediate reconstruction

Se Hyun Paek; Seung Eun Hong; Kyong-Je Woo; Joohyun Woo; Woosung Lim

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자료유형: 학술저널

저자정보: Se Hyun Paek (Ewha Womans University) Seung Eun Hong (Ewha Womans University) Kyong-Je Woo (Ewha Womans University) Joohyun Woo (Ewha Womans University) Woosung Lim (Ewha Womans University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.98 No.2

발행연도: 2020.2

수록면: 57 - 61 (5page)

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Purpose: Nipple-sparing mastectomy (NSM) has become increasingly popular due to improved cosmesis without compromising oncologic safety. Radial and inframammary incisions are usually used to achieve NSM, with periareolar incisions usually being avoided because of the risk to nipple-areola complex viability. In an attempt to maximize esthetic effects, we performed NSM through periareolar incision with immediate reconstruction. We report our initial experience.
Methods: This case series consisted of all consecutive patients (n = 34) who underwent NSM through a periareolar incision in our institution between August 2017 and December 2018. All patients underwent NSM through periareolar incision followed by immediate reconstruction with an implant or deep inferior epigastric perforator flap. Patient demographics, tumor and treatment characteristics, and short-term postoperative outcomes were reviewed.
Results: The mean patient age was 46.74 ± 6.69 years (range, 38–62 years), and the mean operation time was 96.68 ± 28.00 minutes. Indications included in situ cancer in 12 cases and invasive cancer in 22 cases. There was 1 major complication (postoperative hematoma) requiring operative reintervention. No other complications including fistula, implant exposure, or reconstruction failure was observed. At the time of writing, no case of local recurrence has been observed.
Conclusion: Our initial report shows that NSM with immediate reconstruction may successfully be performed through periareolar incision. This method maximizes esthetic effects and may be an appropriate surgical option for NSM.

#Mammaplasty #Periareolar #Subcutaneous mastectomy

참고문헌 (18)

참고문헌 신청

Freeman BS / 1962 / Subcutaneous mastectomy for benign breast lesions with immediate or delayed prosthetic replacement / Plast Reconstr Surg Transplant Bull 30:676~682

Freeman BS / 1967 / Complications of subcutaneous mastectomy with prosthetic replacement, immediate or delayed / South Med J 60:1277~1280

Rawlani V / 2011 / The effect of incision choice on outcomes of nipplesparing mastectomy reconstruction / Can J Plast Surg 19:129~133

Paepke S / 2009 / Subcutaneous mastectomy with conservation of the nipple-areola skin : broadening the indications / Ann Surg 250:288~292

Gerber B / 2009 / The oncological safety of skin sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction : an extended follow-up study / Ann Surg 249:461~468

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