Skin-sparing Mastectomy and Immediate Nipple Graft for Large, Ptotic Breast
Nipple-areolar skin-sparing mastectomy followed by autologous reconstruction in patients with large, ptotic breasts often offers a limited field, resulting in strenuous traction. Skin-sparing mastectomy (SSM) with immediate nipple grafting from the specimen was attempted for such patients. Patients...
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| Published in: | Journal of breast cancer Vol. 22; no. 4; pp. 641 - 646 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Korea (South)
Korean Breast Cancer Society
01-12-2019
한국유방암학회 |
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| Abstract | Nipple-areolar skin-sparing mastectomy followed by autologous reconstruction in patients with large, ptotic breasts often offers a limited field, resulting in strenuous traction. Skin-sparing mastectomy (SSM) with immediate nipple grafting from the specimen was attempted for such patients. Patients who underwent SSM with immediate autologous breast reconstruction and nipple grafting between September 2016 and February 2019 were evaluated, including 33 nipple grafts in 30 patients. The average weight of the mastectomy specimen was 552.5 g and the average operation time for unilateral mastectomy was 109 minutes. No complete nipple loss or major skin flap necrosis was reported. Adjuvant therapy started after an average of 24 days. SSM with immediate nipple grafting on the autologously reconstructed breast could be an alternative for large, ptotic breasts. It is also useful for patients requiring contralateral balancing procedures or those with bilateral breast cancer in which only one nipple can be spared oncologically. |
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| AbstractList | Nipple-areolar skin-sparing mastectomy followed by autologous reconstruction in patients with large, ptotic breasts often offers a limited field, resulting in strenuous traction. Skin-sparing mastectomy (SSM) with immediate nipple grafting from the specimen was attempted for such patients. Patients who underwent SSM with immediate autologous breast reconstruction and nipple grafting between September 2016 and February 2019 were evaluated, including 33 nipple grafts in 30 patients. The average weight of the mastectomy specimen was 552.5 g and the average operation time for unilateral mastectomy was 109 minutes. No complete nipple loss or major skin flap necrosis was reported. Adjuvant therapy started after an average of 24 days. SSM with immediate nipple grafting on the autologously reconstructed breast could be an alternative for large, ptotic breasts. It is also useful for patients requiring contralateral balancing procedures or those with bilateral breast cancer in which only one nipple can be spared oncologically. Nipple-areolar skin-sparing mastectomy followed by autologous reconstruction in patients with large, ptotic breasts often offers a limited field, resulting in strenuous traction. Skin-sparing mastectomy (SSM) with immediate nipple grafting from the specimen was attempted for such patients. Patients who underwent SSM with immediate autologous breast reconstruction and nipple grafting between September 2016 and February 2019 were evaluated, including 33 nipple grafts in 30 patients. The average weight of the mastectomy specimen was 552.5 g and the average operation time for unilateral mastectomy was 109 minutes. No complete nipple loss or major skin flap necrosis was reported. Adjuvant therapy started after an average of 24 days. SSM with immediate nipple grafting on the autologously reconstructed breast could be an alternative for large, ptotic breasts. It is also useful for patients requiring contralateral balancing procedures or those with bilateral breast cancer in which only one nipple can be spared oncologically. KCI Citation Count: 2 |
| Author | Cho, Jeong Mok Kim, Eun Key Lee, Jong Won |
| AuthorAffiliation | 2 Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 1 Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
| AuthorAffiliation_xml | – name: 1 Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea – name: 2 Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
| Author_xml | – sequence: 1 givenname: Eun Key orcidid: 0000-0002-3986-6886 surname: Kim fullname: Kim, Eun Key organization: Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea – sequence: 2 givenname: Jeong Mok orcidid: 0000-0002-5957-467X surname: Cho fullname: Cho, Jeong Mok organization: Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea – sequence: 3 givenname: Jong Won orcidid: 0000-0001-7875-1603 surname: Lee fullname: Lee, Jong Won organization: Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
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| Cites_doi | 10.1097/PRS.0b013e3182a48b8a 10.1097/PRS.0000000000003340 10.1097/SAP.0000000000000823 10.1097/SAP.0000000000000366 10.1097/PRS.0000000000002296 10.1111/tbj.12208 10.5999/aps.2012.39.3.216 10.1007/s00268-018-4852-y 10.1097/PRS.0000000000004404 |
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| Copyright | 2019 Korean Breast Cancer Society. 2019 Korean Breast Cancer Society 2019 Korean Breast Cancer Society |
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| Keywords | Subcutaneous mastectomy Breast neoplasms Mammaplasty Free tissue flaps |
| Language | English |
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| References | Carlson (10.4048/jbc.2019.22.e52_ref4) 2014; 20 Ito (10.4048/jbc.2019.22.e52_ref1) 2019; 43 Frey (10.4048/jbc.2019.22.e52_ref6) 2017; 139 Mastroianni (10.4048/jbc.2019.22.e52_ref7) 2016; 138 van Verschuer (10.4048/jbc.2019.22.e52_ref9) 2016; 77 Endara (10.4048/jbc.2019.22.e52_ref3) 2013; 132 Yang (10.4048/jbc.2019.22.e52_ref5) 2012; 39 Dent (10.4048/jbc.2019.22.e52_ref8) 2017; 78 Frey (10.4048/jbc.2019.22.e52_ref2) 2018; 141 |
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| Title | Skin-sparing Mastectomy and Immediate Nipple Graft for Large, Ptotic Breast |
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