Abstract
Nipple reconstruction represents the final and probably the most important stage of breast reconstruction. Although several techniques have been proposed over the years to restore nipple integrity, the main problem remains the degree of shrinkage in nipple projection after reconstruction. Despite several methods have been introduced to overcome this problem such as autologous, allogenic, and synthetic augmentation grafts, local flaps are the most frequently used technique for the nipple reconstruction. We propose a new, simple, and reliable method of nipple reconstruction in which the residual scar of mastectomy, and eventually a very small amount of healthy skin, is used in to reconstruct a neo-nipple. This technique showed satisfactory outcomes in terms of long-term projection and shape.
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References
Momoh AO, Colakoglu S, de Blacam C, Yueh JH, Lin SJ, Tobias AM, Lee BT. The impact of nipple reconstruction on patient satisfaction in breast reconstruction. Ann Plast Surg. 2012;69(4):389–93.
Losken A, Duggal CS, Desai KA, McCullough MC, Gruszynski MA, Carlson GW. Time to completion of nipple reconstruction: what factors are involved? Ann Plast Surg. 2013;70(5):530–2.
Nimboriboonporn A, Chuthapisith S. Nipple-areola complex reconstruction. Gland Surg. 2014;3(1):35–42.
Shestak KC, Gabriel A, Landecker A, Peters S, Shestak A, Kim J. Assessment of long-term nipple projection: a comparison of three techniques. Plast Reconstr Surg. 2002;110(3):780–6.
Satteson ES, Reynolds MF, Bond AM, Pestana IA. An analysis of complication risk factors in 641 nipple reconstructions. Breast J. 2016;22(4):379–83.
Winocour S, Saksena A, Oh C, Wu PS, Laungani A, Baltzer H, Saint-Cyr M. A systematic review of comparison of autologous, allogeneic, and synthetic augmentation grafts in nipple reconstruction. Plast Reconstr Surg. 2016;137(1):14e–23e.
Sisti A, Grimaldi L, Tassinari J, Cuomo R, Fortezza L, Bocchiotti MA, Roviello F, D’Aniello C, Nisi G. Nipple-areola complex reconstruction techniques: a literature review. Eur J Surg Oncol. 2016;42(4):441–65.
Di Benedetto G, Sperti V, Pierangeli M, Bertani A. A simple and reliable method of nipple reconstruction using a spiral flap made of residual scar tissue. Plast Reconstr Surg. 2004;114(1):158–61.
Garramone CE, Lam B. Use of AlloDerm in primary nipple reconstruction to improve long-term nipple projection. Plast Reconstr Surg. 2007;119(6):1663–8.
Gullo P, Buccheri EM, Pozzi M, De Vita R. Nipple reconstruction using a star flap enhanced by scar tissue: the Regina Elena cancer institute experience. Aesthet Plast Surg. 2011;35(5):731–7.
Lesavoy M, Liu TS. The diamond double-opposing V–Y flap: a reliable, simple, and versatile technique for nipple reconstruction. Plast Reconstr Surg. 2010;125(6):1643–8.
Gurunluoglu R, Shafighi M, Williams SA, Kimm GE. Incorporation of preexisting scar in the star-flap technique for nipple reconstruction. Ann Plast Surg. 2012;68(1):17–21.
Riccio CA, Zeiderman MR, Chowdhry S, Wilhelmi BJ. Review of nipple reconstruction techniques and introduction of V to Y technique in a bilateral wise pattern mastectomy or reduction mammaplasty. Eplasty. 2015;6(15):e11.
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Torresetti, M., Scalise, A., Di Benedetto, G. (2018). A Simple and Reliable Method of Nipple Reconstruction Using a Spiral Flap Made of Residual Scar Tissue. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_69
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DOI: https://doi.org/10.1007/978-3-319-60925-6_69
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