Simultaneous nipple reconstruction in autologous breast reconstruction

Lee, Jong Ho; Ryu, Jeong Yeop; Lee, Jung Ho; Lee, Jeeyeon; Park, Ho Yong; Yang, Jung Dug; Lee, Joon Seok

doi:10.21037/gs-21-338

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…Fat injection may be considered; however, the engraftment rate varies depending on the patient, and multiple re-operations may be necessary if insufficient amounts of fat are injected [30][31][32]. Furthermore, when the nipple or breast skin is excised due to involvement of cancer cells, simultaneous nipple reconstruction can be performed, and breast skin defects can be adequately covered [33].…”

Section: Discussionmentioning

confidence: 99%

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Lee

Ryu²,

Choi³

et al. 2022

BMC Surg

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Background We conducted a prospective cohort study to evaluate effective techniques for breast reconstruction after partial mastectomy due to breast cancer. Determining the method of reconstruction is often difficult as it depends on the location of the cancer and the amount of tissue excised.. Here, we present a new technique, using the vertical latissimus dorsi (LD) flap, that can be used in all partial mastectomies and can almost conceal scarring. We also compared these results to those of the mini LD flap. Methods We analyzed the data of a total of 50 and 47 patients, who underwent breast reconstruction with the mini LD flap and the vertical LD flap, respectively. Immediately after tumor excision, breast reconstruction was initiated. The skin flap for vertical LD was designed in a planarian shape, such that it may be hidden as much as possible and minimize bulging during closure, and the LD muscle flap was designed with a sufficient distance in the inferior direction. Results Our finding showed that the vertical LD flap group required significantly less total operation time than the mini LD flap group. While the mini-LD flap resulted in a scar that was difficult to conceal, the donor site scar of the vertical LD flap could not be seen easily, and no scar was visible on the back. Conclusions The vertical LD flap is useful for partial breast reconstruction, in all breast regions requires a rather small volume of the flap. Moreover, recovery was relatively fast with high patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Lee

Ryu²,

Choi³

et al. 2022

BMC Surg

Self Cite

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show abstract

“…Fat injection may be considered; however, the engraftment rate varies depending on the patient, and multiple re-operations may be necessary if insu cient amounts of fat are injected [24][25][26]. Furthermore, when the nipple or breast skin is excised due to involvement of cancer cells, simultaneous nipple reconstruction can be performed, and breast skin defects can be adequately covered [27,28].…”

Section: Discussionmentioning

confidence: 99%

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Lee

Ryu

Choi

et al. 2022

Preprint

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BackgroundWe conducted a prospective cohort study to evaluate effective technique for breast reconstruction after partial mastectomy due to breast cancer. Depending on the location of the cancer and the amount excised, what method to employ is often difficult to determine. Here, we present a new technique, using the vertical LD flap, that can be used in all partial mastectomies and can almost hide scarring. We also compare these results to the mini-LD flap. MethodsWe analyzed a total of 50 and 47 patients, who underwent breast reconstruction with the mini-LD flap and the vertical LD flap, respectively. Immediately after cancer excision, work on reconstruction began. The skin flap for vertical LD was designed in a planaria shape, such that it may be hidden as much as possible and minimize bulging during closure, and the LD muscle flap was designed with a sufficient distance in the inferior direction.ResultsOur finding showed that the vertical LD flap group required significantly less total operation time than the mini-LD flap group. While the mini-LD flap resulted in a scar that was difficult to hide, the donor site scar of the vertical LD flap could not be seen easily, and no scar was visible on the back. ConclusionsThe vertical LD flap is capable of all partial breast reconstruction, can reconstruct defects in all breast regions, and requires a rather small volume of the flap. The patients show relatively fast recovery after the operation and high patient satisfaction.

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“…4 Nipple reconstruction plays a vital role in breast reconstructive surgery, 5 aiming to enhance body image and improve the quality of life for breast cancer patients. 6,7 Despite significant advancements in this field, procedures may be complicated by partial or total flap necrosis, local infection, wound dehiscence, or seroma. The long-term maintenance of nipple projection continues to be a challenge for surgeons, often resulting in patient dissatisfaction 8 and requiring additional surgical interventions.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Efficacy and Safety of Pedicled Perforator Flap Technique for Salvage Nipple Reconstruction in Breast Cancer Patients: A Pilot Study

Chen,

Yang,

Zheng

et al. 2024

Surg Innov

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Objective We propose a pedicled perforator flap technique for salvage nipple reconstruction after initial nipple reconstruction fails in breast cancer patients. Methods This is a pilot study. A total of 21 female breast cancer patients who underwent nipple reconstruction following initial nipple reconstruction fails were enrolled, and salvage nipple reconstruction based pedicled perforator flap were performed between 2016 and 2020. Operative time, perforator design, postoperative complications, follow-up duration, projection of nipple, as well as patient-reported outcomes measured by the BREAST-Q and visual analogue scale (VAS) were assessed. Results Sixteen patients underwent fifth lateral intercostal artery perforator reconstruction, while 5 patients underwent fifth anterior intercostal artery perforator flap reconstruction. The surgeries were successful without intraoperative complications, with a mean operative time of 67 minutes. Postoperative complications were absent. The mean follow-up duration was 18 months. The mean nipple projection was 8 mm (range, 6-10 mm) with a shrinkage of 20% at 6 months after surgery. The average scores for psychosocial well-being, satisfaction with breasts, and satisfaction with nipples domains of the BREAST-Q significantly increased ( P < .01) at 6 months post-reconstruction. Sexual well-being subdomain showed no statistical difference ( P = .9369). The VAS scores for cosmesis and patient satisfaction with surgery were 9 and 9.3, respectively. Conclusion The pedicled perforator flap technique for salvage nipple reconstruction is a safe and effective approach.

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Simultaneous nipple reconstruction in autologous breast reconstruction

Cited by 4 publications

References 37 publications

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Useful vertical latissimus dorsi flap for partial breast reconstruction in every tumor location

Evaluation of the Efficacy and Safety of Pedicled Perforator Flap Technique for Salvage Nipple Reconstruction in Breast Cancer Patients: A Pilot Study

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