无帽箭头皮瓣：一种增强重建乳头逼真度的策略。
The Domeless Arrow Flap: A Strategy to Enhance Realism in Reconstructed Nipples.
作者信息
Caddia Giorgio, Frobert Paul, Delay Emmanuel, Dammacco Maria A
机构信息
From the Plastic, Reconstructive and Aesthetic Surgery Unit, Department of Human Pathology, University of Messina, Messina, Italy.
Plastic and Reconstructive Surgery Unit, Department of Surgical Oncology, Centre Léon Bérard, Lyon, France.
出版信息
Plast Reconstr Surg Glob Open. 2025 Jun 6;13(6):e6804. doi: 10.1097/GOX.0000000000006804. eCollection 2025 Jun.
The domeless arrow flap (DAF) introduces a simple yet effective technique for nipple reconstruction, enhancing realism by omitting the cap of the traditional arrow flap. This innovative approach allows secondary intention healing to create an irregular scar, mimicking the natural rough texture of a real nipple. Applied to 24 patients across 25 autologous breast reconstructions, the DAF achieved the best results on latissimus dorsi flaps (44% mean projection retention) and the poorest on thoracic irradiated skin (28%). Easy to perform and complication-free, the DAF is a reliable option that combines simplicity with natural aesthetics, making it a valuable addition to a surgeon's arsenal.
无帽箭头皮瓣（DAF）引入了一种简单而有效的乳头重建技术，通过省略传统箭头皮瓣的帽状部分来增强逼真度。这种创新方法允许二期愈合形成不规则瘢痕，模仿真实乳头的自然粗糙质地。在25例自体乳房重建的24例患者中应用，DAF在背阔肌皮瓣上取得了最佳效果（平均突出保留率为44%），而在胸部放疗后的皮肤上效果最差（28%）。DAF操作简便且无并发症，是一种可靠的选择，将简单性与自然美学相结合，使其成为外科医生技术库中的一项有价值的补充。
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