Burusapat Chairat
Division of Plastic and Reconstructive surgery, Department of Surgery, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand.
Plast Reconstr Surg Glob Open. 2020 Dec 3;8(12):e3260. doi: 10.1097/GOX.0000000000003260. eCollection 2020 Dec.
Oncoplastic surgery is widely popular due to its ability to achieve curative tumor resection and symmetry of both breasts, and as a result of reduced psychological distress after mastectomy. Immediate nipple reconstruction was discussed and the gold standard procedure is inconclusive. Immediate nipple reconstruction with simultaneous breast reconstruction provides satisfactory esthetic results, compared with the delayed procedure. The "inverted lotus bud flap" was demonstrated as a new technique for immediate nipple reconstruction. The advantage of this technique is adequate nipple projection with minimization of scarring. In conclusion, oncoplastic breast surgery with immediate nipple reconstruction was demonstrated to be a safe and esthetically reliable procedure, leading to reduced psychological distress. This single-stage procedure promotes psychosocial well-being after breast cancer surgery. Immediate nipple reconstruction using the "inverted lotus bud flap" technique is versatile, reliable, and offers good esthetic results.
肿瘤整形手术广受欢迎，因为它能够实现肿瘤的根治性切除以及双侧乳房的对称性，并且能减轻乳房切除术后的心理困扰。文中讨论了即刻乳头重建，而金标准术式尚无定论。与延迟手术相比，即刻乳头重建联合乳房重建能提供令人满意的美学效果。“倒莲花瓣皮瓣”被证明是一种即刻乳头重建的新技术。该技术的优点是乳头突出充分且瘢痕最小化。总之，肿瘤整形乳房手术联合即刻乳头重建被证明是一种安全且美学上可靠的手术，可减轻心理困扰。这种一期手术可促进乳腺癌手术后的心理社会幸福感。采用“倒莲花瓣皮瓣”技术进行即刻乳头重建具有通用性、可靠性，并能提供良好的美学效果。
