De-epithelialized dermal flap for nipple reconstruction: A modified star flap

Lee, Su Hyun; Kim, Deok Woo; You, Hi Jin; Jung, Jae A; Hwang, Na Hyun; You, Jae Pil; Yoon, Eul Sik

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자료유형: 학술저널

저자정보: Lee, Su Hyun (Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital) Kim, Deok Woo (Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital) You, Hi Jin (Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital) Jung, Jae A (Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital) Hwang, Na Hyun (Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital) You, Jae Pil (Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital) Yoon, Eul Sik (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제4호

발행연도: 2019.1

수록면: 324 - 329 (6page)

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Background Multiple approaches for nipple reconstruction exist, and none is considered superior to all others. The star flap is one of the most popular methods for nipple reconstruction, but gradual height loss is a major concern. We present a new modification of the star flap that incorporates a de-epithelialized dermal flap, along with the associated surgical results. Methods We reviewed the medical records of patients who underwent nipple reconstruction using the modified star flap method. The design was different from the conventional star flap in that the lateral wings were changed into a trapezoidal shape and de-epithelialized dermal flaps were added. The patients were followed up at 2, 4, 6, and 12 months postoperatively, and nipple height was measured. The postoperative nipple height achieved using the modified method was compared with that obtained using the traditional method. Results From February 2013 to June 2017, 32 patients received surgery using the modified star flap, and 18 patients who underwent nipple reconstruction before 2013 comprised the conventional method group. All patients had undergone breast reconstruction with an abdominal tissue-based flap. The mean follow-up period was 14.4 months in the modified method group and 17.3 months in the conventional method group. The mean maintenance of projection at 12 months postoperatively was $56.28%{\pm}18.58%$ in the modified method group, and $44.23%{\pm}14.15%$ in the conventional method group. This difference was statistically significant (P<0.05). Conclusions The modified method using a de-epithelialized dermal flap provides reliable maintenance of projection in patients who have undergone abdominal tissue-based breast reconstruction.

#Nipples #Surgical flaps #Mammoplasty

참고문헌 (15)

참고문헌 신청

Momoh AO / 2012 / The impact of nipple reconstruction on patient satisfaction in breast reconstruction / Ann Plast Surg 69:389~393

Anton MA / 1991 / Nipple reconstruction with local flaps : star and wrap flaps / Perspect Plast Surg 5:68~78

Bramhall RJ / 2017 / Use of acellular dermal matrix(ADM)in nipple reconstruction : the ‘central-pillar technique’ / Gland Surg 6:394~398

Weissler EH / 2017 / The necessity of the nipple : redefining completeness in breast reconstruction / Ann Plast Surg 78:646~650

Jabor MA / 2002 / Nipple-areola reconstruction : satisfaction and clinical determinants / Plast Reconstr Surg 110:457~463

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