Abstract
Skin-sparing mastectomy with immediate breast reconstruction has shown to be oncologically safe while providing dependable aesthetic results. However, flap inset into the skin defect of the excised biopsy site and nipple-areola complex often results in a patchlike effect and transverse scars. By keeping the mastectomy incision solely around the areola, all breast skin can be preserved. Thus, in immediate breast reconstruction with replacement of the nipple and areola by a small skin island from a deepithelialized TRAM flap or latissimus dorsi muscle flap, the scar is kept at the natural border between areola and breast skin. Reconstruction of the nipple-areola complex further helps to camouflage the incision line. This may result in the best possible aesthetic outcome after mastectomy to date. The technique has been used in 17 breast cancer patients (intraductal cancer, n = 5; T1/T2 ductal cancer, n = 13) with good to excellent results. No local or distant recurrences have been seen; however, mean follow-up time is short (10 months). As the procedure of choice, a free TRAM flap was performed in nine patients for immediate reconstruction. The other eight patients were too slim for an autologous reconstruction; therefore, a latis...Continue Reading
References
Sep 1, 1992·Plastic and Reconstructive Surgery·S S Kroll, B Baldwin
Oct 1, 1990·Archives of Surgery·A L VintonR D Zehring
Jul 1, 1989·Archives of Surgery·C H JohnsonD M Ilstrup
Mar 1, 1995·Annals of Plastic Surgery·R H Bensimon, J M Bergmeyer
Sep 1, 1995·Plastic and Reconstructive Surgery·S S KrollG Evans
Aug 1, 1993·Plastic and Reconstructive Surgery·L F ElliottL Drazan
Sep 1, 1993·Plastic and Reconstructive Surgery·L Eskenazi
Sep 1, 1996·Plastic and Reconstructive Surgery·C L DupinR Bunch
Citations
May 25, 2011·Aesthetic Plastic Surgery·Jan MestakOndrej Mestak
Oct 26, 2011·Nature Reviews. Clinical Oncology·Jean-Yves PetitMario Rietjens
Nov 25, 2000·The British Journal of Surgery·C M MalataA D Purushotham
Feb 1, 2002·Surgery·Kaoru KitamuraKeizo Sugimachi
Apr 11, 2001·Annals of Plastic Surgery·G W CarlsonD D Denson
Jun 8, 1999·Plastic and Reconstructive Surgery·B GerberK Friese
Jun 28, 2002·Plastic and Reconstructive Surgery·Paul J Skoll, Don A Hudson
Sep 10, 2003·Plastic and Reconstructive Surgery·Markus HoopmannPeter K Mallmann
Oct 2, 2003·Annals of Plastic Surgery·Charles M MalataArnie D Purushotham
Apr 16, 2004·Annals of Plastic Surgery·Marzia SalgarelloFarallo Eugenio
Jun 24, 2004·Annals of Plastic Surgery·Zlatko VlajcicZdenko Stanec
Jun 26, 2007·Annals of Plastic Surgery·Eric I ChangPhilip D Wey
May 8, 2003·Annals of Surgical Oncology·Albert N Van GeelMarian M E Menke-Pluijmers
Jan 29, 2008·World Journal of Surgery·Adel DenewerOmar Farouk
Nov 10, 2009·Cirugía española·Benigno Acea Nebril
Mar 29, 2008·Annales de chirurgie plastique et esthétique·M DelbaereE Delay
Sep 21, 2010·Microsurgery·Andreas Gravvanis, Roger W Smith
Feb 16, 2005·British Journal of Plastic Surgery·Marzia Salgarello, Eugenio Farallo
Apr 3, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J E Hunter, C M Malata
Apr 4, 2000·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S K Al-Ghazal, R W Blamey
Mar 16, 2000·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S K Al-GhazalR W Blamey
Oct 4, 2000·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·P A SufiD S Collier
Nov 25, 2003·Cancer·Richard J BleicherArmando E Giuliano
May 11, 2006·The Breast Journal·Sonya MitchellDerrick J Beech
Oct 12, 2005·Plastic and Reconstructive Surgery·Peter SchrenkWolfgang Wayand