Agdoğan Özgür, Gürdal Özkan Sibel
Department of Plastic, Reconstructive and Aesthetic Surgery, Tekirdag Namik Kemal University, Tekirdag, Turkey.
Department of General Surgery, Tekirdag Namik Kemal University, Tekirdag, Turkey.
Breast Cancer (Dove Med Press). 2025 Jul 14;17:599-610. doi: 10.2147/BCTT.S524455. eCollection 2025.
This study aims to evaluate the simultaneous implant and dermal flap technique for breast reconstruction following skin-sparing total mastectomy in breast carcinoma patients, assessing both oncological and aesthetic outcomes.
A retrospective analysis was conducted on 28 patients who underwent skin-sparing total mastectomy with preservation of the nipple-areola complex, followed by immediate breast reconstruction using implants and dermal flaps. Data on patient demographics, surgical outcomes, complications, and patient satisfaction were collected and analyzed.
The study included 28 patients with an average age of 54.3 years. The implant sizes used ranged from 200 to 325 cc. Among these patients, 7 were chronic smokers and 8 had chronic diseases. A total of 22 patients underwent bilateral mastectomies, while 6 had unilateral mastectomies. Axillary lymph node dissection was performed in all cases. Preoperative radiotherapy was administered to 3 patients, and postoperative radiotherapy was given to 5 patients. Two patients experienced unilateral complete necrosis of the NAC and skin, while one patient had partial NAC necrosis. No evidence of capsular contracture, tumor recurrence, or metastasis was observed during the follow-up period. Patient satisfaction was high, with 24 out of 28 patients expressing positive outcomes.
Simultaneous implant and dermal flap breast reconstruction after skin-sparing total mastectomy offers a viable single-session approach with optimal cosmetic results, minimal morbidity, and high patient satisfaction. This technique is particularly beneficial for patients seeking immediate reconstruction with preserved nipple-areola complex.
本研究旨在评估乳腺癌患者保乳全乳房切除术后同期植入物和真皮瓣乳房重建技术，评估肿瘤学和美学效果。
对28例行保乳全乳房切除术并保留乳头乳晕复合体，随后立即采用植入物和真皮瓣进行乳房重建的患者进行回顾性分析。收集并分析患者人口统计学、手术结果、并发症和患者满意度的数据。
该研究纳入28例患者，平均年龄54.3岁。使用的植入物大小范围为200至325cc。这些患者中，7例为长期吸烟者，8例患有慢性病。共有22例患者接受了双侧乳房切除术，6例接受了单侧乳房切除术。所有病例均进行了腋窝淋巴结清扫。3例患者接受了术前放疗，5例患者接受了术后放疗。2例患者出现乳头乳晕复合体和皮肤单侧完全坏死，1例患者出现乳头乳晕复合体部分坏死。随访期间未观察到包膜挛缩、肿瘤复发或转移的证据。患者满意度较高，28例患者中有24例表示结果良好。
保乳全乳房切除术后同期植入物和真皮瓣乳房重建提供了一种可行的单阶段方法，具有最佳的美容效果、最小的发病率和较高的患者满意度。该技术对寻求保留乳头乳晕复合体的即刻重建的患者特别有益。
