Doren Erin Louise, Van Eldik Kuykendall Lauren, Lopez Jonathan Jeremiah, Laronga Christine, Smith Paul David
From the *Division of Plastic Surgery, Department of Surgery, University of South Florida, Tampa, FL; and †Comprehensive Breast Program, H. Lee Moffitt Cancer Center, Department of Women's Oncology, Tampa, FL.
Ann Plast Surg. 2014;72(6):S112-5. doi: 10.1097/SAP.0000000000000077.
Nipple-sparing mastectomy is an option for patients fitting oncologic criteria and may improve cosmetic outcomes of breast reconstruction. When anatomical limitations exist, we propose the use of free nipple grafting, akin to reduction mammaplasty. This study is a retrospective review of patients having a nipple-sparing mastectomy and immediate reconstruction using free nipple grafting (N = 36 breasts). Average graft take was 93.6% with no nipples having complete graft loss. Four nipples (11%) lost all projection and 4 nipples experienced significant hypopigmentation requiring tattooing (11%). For those ineligible for nipple-sparing mastectomy due to anatomical limitations, free nipple grafting is an option with acceptable complication rates similar to free nipple grafting in reduction mammaplasties and, more importantly, saves women a subsequent operation for nipple reconstruction.
保留乳头的乳房切除术是符合肿瘤学标准患者的一种选择，可能会改善乳房重建的美容效果。当存在解剖学限制时，我们建议采用类似于乳房缩小成形术的游离乳头移植术。本研究是对接受保留乳头乳房切除术并使用游离乳头移植术进行即刻重建的患者（N = 36例乳房）的回顾性分析。平均移植成活率为93.6%，没有乳头完全丧失移植。4个乳头（11%）失去了所有凸起，4个乳头出现明显色素减退需要纹身（11%）。对于因解剖学限制而不符合保留乳头乳房切除术条件的患者，游离乳头移植术是一种选择，其并发症发生率与乳房缩小成形术中的游离乳头移植术相似，更重要的是，为女性省去了后续的乳头重建手术。
