New Nipple-Sharing Technique That Preserves the Anatomic Structure of the Donor Nipple for Breastfeeding

Sakai, Shigemi; Taneda, Hiroko

doi:10.1007/s00266-011-9792-y

Cited by 7 publications

(4 citation statements)

References 6 publications

(9 reference statements)

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“…11 blade [ 7 ]. Sakai and Taneda [ 3 ] harvested a rim of the nipple near its base and closed the denuded area by invaginating the nipple. The new nipple was reconstructed by spirally insetting the graft [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sakai and Taneda [ 3 ] harvested a rim of the nipple near its base and closed the denuded area by invaginating the nipple. The new nipple was reconstructed by spirally insetting the graft [ 3 ]. Other surgeons used a sagitally split nipple as a graft in cases where the nipple was flat [ 1 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The nipple-sharing technique for nipple reconstruction offers excellent tissue matching [1][2][3][4]. The indication of this method is the sufficiency of the contralateral nipple, and importantly, the patient must accept it since not many women are prepared to undergo scarring on their normal side [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Two-Blade Guillotine Technique for Nipple Graft Harvest

2017

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The nipple-sharing technique for nipple reconstruction offers excellent tissue matching. The method used for nipple graft harvesting determines the quality of the graft and hence, the success of nipple sharing. Here, we described a guillotine technique wherein the nipple is first transfixed with 2 straight needles to stabilise it. Two No. 11 blades are then inserted in the center and simultaneously swept outwards to amputate the distal portion of the nipple. This technique provides good control, resulting in a very evenly cut base. The recipient bed is deepithelialized thinly, and the nipple graft is inset with interrupted 8-0 nylon sutures under magnification. Being a composite graft, it is protected with splint dressings for 6 weeks, and the dressing is regularly changed by the surgeon. The height of the nipple grafts ranges from 4 to 8 mm. This technique was performed in 9 patients with an average follow-up of 2.9 years (range, 1–4.5 years). Apposition between the nipple graft and its bed is crucial for the success of this technique. When correctly applied, we observed rapid revascularization of the graft.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Two-Blade Guillotine Technique for Nipple Graft Harvest

2017

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“…The breastfeeding functionality can be preserved using a nipple-sharing technique that does not damage the anatomic structure of the donor nipple for breastfeeding [ 55 ]. This technique was described by Sakai and Taneda and consists of harvesting tissue by the circumcision method of nipple reduction and grafting the tissue in a spiral configuration [ 55 ].…”

Section: Nipple Sharing Technique For Nipple Reconstructionmentioning

confidence: 99%