Secondary nipple reconstruction using two surgical techniques

Background Although the initial projection after primary nipple reconstruction is excellent, nipple projection gradually flattens in most cases due to multiple causes. Although various methods have been reported to rebuild the nipple after nipple flattening, the most effective method of secondary ni...

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Autores principales:	Jae-Ho Chung, Da-Som Kim, Hyun-Dong Yeo, Seung-Pil Jung, Seung-Ha Park, Eul-Sik Yoon
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:	nipples reconstructive surgical procedures surgical flaps Surgery RD1-811
Acceso en línea:	https://doaj.org/article/02de233858874cc0b7e4406e1788378d
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id	oai:doaj.org-article:02de233858874cc0b7e4406e1788378d
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spelling	oai:doaj.org-article:02de233858874cc0b7e4406e1788378d2021-11-25T06:04:37ZSecondary nipple reconstruction using two surgical techniques2234-61632234-617110.5999/aps.2021.00304https://doaj.org/article/02de233858874cc0b7e4406e1788378d2021-11-01T00:00:00Zhttp://www.e-aps.org/upload/pdf/aps-2021-00304.pdfhttps://doaj.org/toc/2234-6163https://doaj.org/toc/2234-6171Background Although the initial projection after primary nipple reconstruction is excellent, nipple projection gradually flattens in most cases due to multiple causes. Although various methods have been reported to rebuild the nipple after nipple flattening, the most effective method of secondary nipple reconstruction remains unknown. The aim of this study was to review our institution’s experiences with secondary nipple reconstruction. Methods We conducted a retrospective review from March 2012 to January 2019. We performed secondary nipple reconstruction if the primary reconstructed nipple height differed by more than 6 mm from the normal nipple height. We chose the method of nipple revision according to the degree of tissue scarring and the remaining nipple projection. Results We performed secondary nipple reconstruction on a total of 27 nipples, using pursestring sutures for 19 nipples and star flaps in eight nipples. The median follow-up period was 8 months (range, 6–19 months) after the final nipple reconstruction. Among the 19 nipples reconstructed using purse-string sutures, 10 (53%) demonstrated acceptable projection of more than 5 mm. Among the eight nipples reconstructed using star flaps, six (75%) showed acceptable projection of more than 5 mm. Most of the patients (73%) were satisfied (scores of 4 or 5) with the nipple reconstruction overall. Conclusions Few studies have presented favorable outcomes of secondary nipple reconstruction. When the star flap and purse-string suture methods were used depending on the remaining nipple height and scarring, appropriate projection could be achieved.Jae-Ho ChungDa-Som KimHyun-Dong YeoSeung-Pil JungSeung-Ha ParkEul-Sik YoonKorean Society of Plastic and Reconstructive Surgeonsarticlenipplesreconstructive surgical proceduressurgical flapsSurgeryRD1-811ENArchives of Plastic Surgery, Vol 48, Iss 6, Pp 590-598 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	nipples reconstructive surgical procedures surgical flaps Surgery RD1-811
spellingShingle	nipples reconstructive surgical procedures surgical flaps Surgery RD1-811 Jae-Ho Chung Da-Som Kim Hyun-Dong Yeo Seung-Pil Jung Seung-Ha Park Eul-Sik Yoon Secondary nipple reconstruction using two surgical techniques
description	Background Although the initial projection after primary nipple reconstruction is excellent, nipple projection gradually flattens in most cases due to multiple causes. Although various methods have been reported to rebuild the nipple after nipple flattening, the most effective method of secondary nipple reconstruction remains unknown. The aim of this study was to review our institution’s experiences with secondary nipple reconstruction. Methods We conducted a retrospective review from March 2012 to January 2019. We performed secondary nipple reconstruction if the primary reconstructed nipple height differed by more than 6 mm from the normal nipple height. We chose the method of nipple revision according to the degree of tissue scarring and the remaining nipple projection. Results We performed secondary nipple reconstruction on a total of 27 nipples, using pursestring sutures for 19 nipples and star flaps in eight nipples. The median follow-up period was 8 months (range, 6–19 months) after the final nipple reconstruction. Among the 19 nipples reconstructed using purse-string sutures, 10 (53%) demonstrated acceptable projection of more than 5 mm. Among the eight nipples reconstructed using star flaps, six (75%) showed acceptable projection of more than 5 mm. Most of the patients (73%) were satisfied (scores of 4 or 5) with the nipple reconstruction overall. Conclusions Few studies have presented favorable outcomes of secondary nipple reconstruction. When the star flap and purse-string suture methods were used depending on the remaining nipple height and scarring, appropriate projection could be achieved.
format	article
author	Jae-Ho Chung Da-Som Kim Hyun-Dong Yeo Seung-Pil Jung Seung-Ha Park Eul-Sik Yoon
author_facet	Jae-Ho Chung Da-Som Kim Hyun-Dong Yeo Seung-Pil Jung Seung-Ha Park Eul-Sik Yoon
author_sort	Jae-Ho Chung
title	Secondary nipple reconstruction using two surgical techniques
title_short	Secondary nipple reconstruction using two surgical techniques
title_full	Secondary nipple reconstruction using two surgical techniques
title_fullStr	Secondary nipple reconstruction using two surgical techniques
title_full_unstemmed	Secondary nipple reconstruction using two surgical techniques
title_sort	secondary nipple reconstruction using two surgical techniques
publisher	Korean Society of Plastic and Reconstructive Surgeons
publishDate	2021
url	https://doaj.org/article/02de233858874cc0b7e4406e1788378d
work_keys_str_mv	AT jaehochung secondarynipplereconstructionusingtwosurgicaltechniques AT dasomkim secondarynipplereconstructionusingtwosurgicaltechniques AT hyundongyeo secondarynipplereconstructionusingtwosurgicaltechniques AT seungpiljung secondarynipplereconstructionusingtwosurgicaltechniques AT seunghapark secondarynipplereconstructionusingtwosurgicaltechniques AT eulsikyoon secondarynipplereconstructionusingtwosurgicaltechniques
_version_	1718414202897432576

Secondary nipple reconstruction using two surgical techniques

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