Hugo N E, Sultan M R, Hardy S P
Division of Plastic Surgery, Columbia-Presbyterian Medical Center, New York, NY.
Ann Plast Surg. 1993 Jun;30(6):510-3. doi: 10.1097/00000637-199306000-00006.
Reconstruction of the nipple-areolar complex is an important part of postmastectomy breast reconstruction. Intradermal tattooing is effective for creating areolar pigmentation and is simpler than skin grafting. However, a simple method for the construction of a normal nipple using local tissues remains a challenge. Several techniques achieve long-term nipple projection but at the expense of complicated flap design, multidirectional scars, and often a need for skin grafting to obtain a uniform-appearing areola. Our one-stage method of nipple-areola reconstruction uses intradermal tattooing for pigmentation and double-opposing pennant flaps for nipple reconstruction. The entire procedure is simple and fast, routinely performed in < 30 minutes under local anaesthesia in the office. From September 1989 to March 1992 we performed 102 reconstructions. The method produces a realistic appearing nipple. We have had no flap necrosis.
乳头乳晕复合体的重建是乳房切除术后乳房重建的重要组成部分。皮内纹身对于产生乳晕色素沉着有效，且比植皮更简单。然而，使用局部组织构建正常乳头的简单方法仍然是一项挑战。有几种技术可实现长期乳头突出，但代价是皮瓣设计复杂、有多个方向的瘢痕，且常常需要植皮以获得外观均匀的乳晕。我们的乳头乳晕一期重建方法采用皮内纹身进行色素沉着，并用双相对旗状皮瓣进行乳头重建。整个手术简单快捷，通常在办公室局部麻醉下30分钟内即可完成。1989年9月至1992年3月，我们共进行了102例重建手术。该方法能产生外观逼真的乳头。我们没有出现皮瓣坏死的情况。
