Nipple-Sparing Mastectomy and Prepectoral Implant/Acellular Dermal Matrix Wrap Reconstruction in Large Ptotic Breasts
| Autor: | Saif Rhobaye, Sherif Youssif, Tarek Ashour, Haitham H Khalil, Marco Malahias, Tahir Faroq |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Nipple-Sparing Mastectomy
medicine.medical_specialty business.industry medicine.medical_treatment lcsh:Surgery lcsh:RD1-811 030230 surgery Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Deformity Medicine Ideas and Innovations In patient Median body Implant medicine.symptom business Dermal matrix Breast reconstruction Mastectomy |
| Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 7, Iss 7, p e2289 (2019) Plastic and Reconstructive Surgery Global Open |
| ISSN: | 2169-7574 |
| Popis: | Supplemental Digital Content is available in the text. Summary: Nipple-sparing mastectomy (NSM) with simultaneous prepectoral direct to implant reconstruction and acellular dermal matrix (ADM) is increasingly offered to patients opting for prophylactic or therapeutic mastectomies. The recent introduction of prepectoral implant/ADM in the armamentarium of breast reconstruction has proven to reduce pain and animation deformity. Despite this promising method, patients with macromastia and ptotic breasts remain a challenging group to treat. More often they would require secondary corrective procedures and can experience high failure rate and unsatisfactory outcomes. The authors present their experience in utilizing a bipedicled nipple-areola complex dermal flap through Wise pattern to achieve a successful NSM with prepectoral implant/ADM (Braxon) wrap (IBW) as a single stage in patients with large ptotic breasts. Patients seeking NSM with large ptotic breasts were included in the study in the period between 2016 and 2018. They were offered a single-stage Wise pattern NSM and immediate prepectoral IBW breast reconstruction. The technique and outcomes were recorded. Sixteen reconstructions were performed in 8 women with a median age of 32 years (range, 27–50 years) and a median body mass index of 32 kg/m2 (range, 29–39 kg/m2). The resected breasts weight ranged from 750 to 1,600 g (median, 890 g). All procedures were completed successfully with no nipple-areola complex necrosis or failure experienced during the follow-up period (range, 3–24 months) with all patients reported excellent satisfaction. The authors’ results demonstrate that this technique could be safely planned for NSM in large ptotic breasts with excellent durable outcomes. |
| Databáze: | OpenAIRE |
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