Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8836308 | JPRAS Open | 2017 | 6 Pages |
Abstract
Nipple areolar reconstruction (NAR) has evolved with the advancement in breast reconstruction and can improve self-esteem and, consequently, patient satisfaction. Although a variety of reconstruction techniques have been described in the literature varying from nipple sharing, local flaps to alloplastic and allograft augmentation, over time, loss of nipple projection remains a major problem. Acellular dermal matrices (ADM) have revolutionised breast reconstruction more recently. We discuss the use of ADM to act as a base plate and strut to give support to the base and offer nipple bulk and projection in a primary procedure of NAR with a local clover shaped dermal flap in 5 breasts (4 patients). We used 5-point Likert scales (1Â =Â highly unsatisfied, 5Â =Â highly satisfied) to assess patient satisfaction. Median age was 46 years (range: 38-55 years). Nipple projection of 8Â mm, 7Â mm, and 7Â mms were achieved in the unilateral cases and 6Â mm in the bilateral case over a median 18 month period. All patients reported at least a 4 on the Likert scale. We had no post-operative complications. It seems that nipple areolar reconstruction [NAR] using ADM can achieve nipple projection which is considered aesthetically pleasing for patients.
Related Topics
Health Sciences
Medicine and Dentistry
Surgery
Authors
Raghavan Vidya, Fathi Salem, Fahad Mujtaba Iqbal, Tapan Sircar,