Soyano Haruka, Matsumine Hajime
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2023 Mar 8;11(3):e4855. doi: 10.1097/GOX.0000000000004855. eCollection 2023 Mar.
Here, we report the preparation of a nipple shield from an inexpensive and re-formable thermoplastic with metallic properties as well as its favorable outcomes when used for patients who had undergone nipple reconstruction. The nipple shield was prepared from a material made of a mixture of a thermoplastic resin and special aluminum pellets (aluminum content, 70%). Each patient wore the nipple shield for 3 months after nipple reconstruction. The material was re-softened for re-forming into an adequate shape as required during this 3-month period. All reconstructed nipples were securely protected, with no complications (eg, ulceration, wound dehiscence, and wound infections) during the 3-month period. Also, there were no skin complications such as contact dermatitis or cellulitis in the area where the nipple shield was in contact with the skin. None of the patients stopped using the nipple shield because it came off frequently, or was uncomfortable or painful to wear, and there were no cases in which the nipple shield had to be remade due to damage. The thermoplastic material used in this study appeared to be extremely useful as a nipple protection material because of its good breathability, attributed to its nonwoven form, its low thermal conductivity and resulting cooling effect attributed to its aluminum content, its suitability for rapid re-forming, and its washability.
在此,我们报告了一种由具有金属特性的廉价且可重塑的热塑性塑料制成的乳头罩的制备方法,以及其用于乳头重建患者时的良好效果。该乳头罩由一种热塑性树脂与特殊铝粒(铝含量70%)的混合物制成的材料制备而成。每位患者在乳头重建后佩戴乳头罩3个月。在此3个月期间,材料会重新软化,以便根据需要重塑成合适的形状。所有重建的乳头均得到了可靠保护,在这3个月期间没有出现并发症(如溃疡、伤口裂开和伤口感染)。此外,在乳头罩与皮肤接触的区域也没有出现接触性皮炎或蜂窝织炎等皮肤并发症。没有患者因为乳头罩频繁脱落、佩戴不舒服或疼痛而停止使用,也没有因损坏而不得不重新制作乳头罩的情况。本研究中使用的热塑性材料因其良好的透气性(归因于其非织造形式)、低导热性以及因其铝含量而产生的冷却效果、适合快速重塑以及可清洗性,似乎作为乳头保护材料非常有用。