Schoeller Thomas, Schubert Heinrich M, Pülzl Petra, Wechselberger Gottfried
Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria.
Breast. 2006 Dec;15(6):762-8. doi: 10.1016/j.breast.2006.03.010. Epub 2006 May 26.
Nipple reconstruction is the perfection of breast reconstruction. Although many reconstruction techniques are available, all come with the risk of projection loss. Most of the commonly used local flap techniques give reliable immediate results, but are associated with a loss in projection of 50 to almost 70% over the first three postoperative years. We herein present a modification of the nipple reconstruction technique as presented by Thomas et al. in 1996. By forming a deepithelialized area when closing the skin donor site, a firm foundation plate for the new nipple is created. The authors observed that this solid foundation plate, as well as the separation of the nipple cavity of the subcutaneous fat, results in less nipple projection loss.
乳头重建是乳房重建的完善。虽然有许多重建技术可供使用，但所有技术都存在乳头突出度丧失的风险。大多数常用的局部皮瓣技术能立即产生可靠的效果，但在术后的头三年中，乳头突出度会丧失50%至近70%。我们在此介绍一种对托马斯等人于1996年提出的乳头重建技术的改良方法。通过在关闭皮肤供区时形成一个去上皮化区域，为新乳头创建一个坚实的基础板。作者观察到，这个坚实的基础板以及皮下脂肪乳头腔的分离，会减少乳头突出度的丧失。
