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논문 기본 정보

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학술저널
저자정보
Hurley, Ciaran M (Department of Plastic and Reconstructive Surgery, Cork University Hospital) McArdle, Adrian (Department of Plastic and Reconstructive Surgery, Cork University Hospital) Joyce, Kenneth M (Department of Plastic and Reconstructive Surgery, Cork University Hospital) O'Broin, Eoin (Department of Plastic and Reconstructive Surgery, Cork University Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제6호
발행연도
2018.1
수록면
534 - 541 (8page)

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Background Nipple-areolar complex (NAC) reconstruction following curative mastectomy is traditionally performed as a second-stage procedure several months after initial breast reconstruction. The recent literature has documented the increasing popularity of immediate nipple reconstruction carried out simultaneously during autologous reconstruction. The aim of this study was to evaluate the surgical outcomes and patient satisfaction with immediate breast and nipple reconstruction performed in a single stage after skin-sparing mastectomy. Methods All patients who underwent a skin-sparing mastectomy with immediate latissimus dorsi flap breast and NAC reconstruction as a single-stage procedure from 2007 to 2015 were included. Patient demographics, oncologic details, and surgical outcomes were recorded. The BREAST-Q questionnaire was administered to patients to assess the impact and effectiveness of this reconstructive strategy. Results During the study period, 34 breast and NAC reconstructions in 29 patients were performed at Cork University Hospital. The majority of our patient cohort were non-smokers (93.1%) and did not receive adjuvant radiotherapy. Postoperative complications were infrequent, with no cases of partial necrosis or complete loss of the nipple. The response rate to the BREAST-Q was 62% (n=18). Patients reported high levels of satisfaction with the reconstructed breast ($62{\pm}4$), nipple reconstruction ($61{\pm}4.8$), overall outcome ($74.3{\pm}5$), and psychosocial well-being ($77.7{\pm}3.2$). Conclusions Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi reconstruction was demonstrated to be a safe and aesthetically reliable procedure in our cohort, yielding high levels of psychological and physical well-being. A single-stage procedure promotes psychosocial well-being involving issues that are intrinsically linked with breast cancer surgery.
#Breast #Surgery, plastic #Patient satisfaction #Reconstructive surgical procedures

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참고문헌 (3)

참고문헌 신청
김혜리 / 2013 / One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy / Archives of Plastic Surgery 40(5):553~558 google schola Korn PT / 2014 / Immediate nipple reconstruction with autologous breast reconstruction following areola-sparing mastectomy: a marriage of aesthetics and oncologic principles / Plast Reconstr Surg 134(4 Suppl 1):79~80 google schola Galimberti V / 2017 / Nipple-sparing and skin-sparing mastectomy: review of aims, oncological safety and contraindications / Breast 34(Suppl 1):S82~S84 google schola

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