Vandeweyer E
Department of Plastic and Reconstructive Surgery, Clinique L. Caty, Baudour, Belgium.
Acta Chir Belg. 2003 Nov-Dec;103(6):593-5. doi: 10.1080/00015458.2003.11679498.
Nipple areola complex reconstruction has historically been a staged procedure, the nipple being reconstructed first by graft or local flap techniques and the areola on a later procedure to gain colour. This paper presents a one-stage combined reconstruction procedure using a local flap and immediate areola tattoo: it presents the advantage of reducing the total number of needed procedures and subsequently diminishes the total time needed to obtain a complete result. In this series of 50 consecutive combined procedures with a mean follow-up of ten months, no necrosis of reconstructed nipple was observed and a total of six patients needed minor revision surgery to correct nipple projection or fading of the tattoo. No local infection or wound complications were observed, underlying the safety of the procedure. Patient satisfaction and compliance were good because the procedure is fast and easy with minimal morbidity.
乳头乳晕复合体重建术在历史上一直是分阶段进行的，首先通过移植或局部皮瓣技术重建乳头，然后在后续手术中重建乳晕以获得颜色。本文介绍了一种使用局部皮瓣和即刻乳晕纹身的一期联合重建手术：它具有减少所需手术总数的优点，从而减少了获得完整效果所需的总时间。在这一系列连续50例联合手术中，平均随访10个月，未观察到重建乳头坏死，共有6例患者需要进行小的修复手术以纠正乳头突出或纹身褪色。未观察到局部感染或伤口并发症，这表明该手术的安全性。患者满意度和依从性良好，因为该手术快速简便，发病率极低。
