Tanini Sara, Calabrese Sara, Lucattelli Elena, Russo Giulia Lo
Department of Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.
Arch Plast Surg. 2021 Mar;48(2):179-184. doi: 10.5999/aps.2019.01095. Epub 2021 Mar 15.
Women attach great importance to the presence of a three-dimensional nipple upon completion of the breast reconstruction process. To meet patients' expectations, nipple-areolar complex reconstruction should achieve symmetry in position, size, shape, texture, and color, as well as minimizing donor-site morbidity. However, it is well known that regardless of the reconstructive technique, loss of nipple projection can be reasonably expected. We developed and evaluated a quick, simple, and innovative technique using injectable Integra Flowable Wound Matrix to increase nipple projection after reconstruction. Twenty breast cancer patients who underwent nipple reconstruction resulting in unsatisfactory projection were enrolled in our retrospective study. Nipple projection was measured at the time of surgery and after 6 and 12 months. A visual analogue scale was used to assess patients' satisfaction. Our technique yielded reliable results in terms of the long-lasting maintenance of nipple projection. This method is high-priced, but cost-effective, since one kit may suffice for three patients. Furthermore, our patients were very appreciative of this technique as a single-step, minimally invasive, painless procedure with no reported necessity of re-intervention.
在乳房重建过程完成后，女性非常重视三维乳头的呈现。为了满足患者的期望，乳头乳晕复合体重建应在位置、大小、形状、质地和颜色上实现对称，并尽量减少供区并发症。然而，众所周知，无论采用何种重建技术，乳头突出度的丧失都是可以合理预期的。我们开发并评估了一种快速、简单且创新的技术，即使用可注射的Integra可流动伤口基质来增加重建后乳头的突出度。20例接受乳头重建但突出度不理想的乳腺癌患者被纳入我们的回顾性研究。在手术时以及术后6个月和12个月测量乳头突出度。使用视觉模拟量表评估患者的满意度。我们的技术在乳头突出度的长期维持方面产生了可靠的结果。这种方法价格高昂，但具有成本效益，因为一套套件可能足够三名患者使用。此外，我们的患者对这种技术非常满意，认为它是一种单步、微创、无痛的手术，且没有再次干预的必要。
