Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Nipple reconstruction using the C-V flap technique after breast reconstruction with the only breast expander

유방확장기만을 사용한 유방재건술 후 C-V 피판을 이용한 유두재건술

  • Song, Jea Yong (Department of Plastc and Reconstructive Surgery, School of Medicine, Cha University) ;
  • Han, Byung Kee (Department of Plastc and Reconstructive Surgery, School of Medicine, Cha University) ;
  • Kim, Chung Hun (Department of Plastc and Reconstructive Surgery, School of Medicine, Cha University)
  • 송재용 (차의과학대학교 의학전문대학원 성형외과학교실) ;
  • 한병기 (차의과학대학교 의학전문대학원 성형외과학교실) ;
  • 김정헌 (차의과학대학교 의학전문대학원 성형외과학교실)
  • Published : 2009.07.15
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Abstract

Purpose: Breast cancer is second most common cancer in women. Almost of patients with breast cancer treated with mastectomy undergoes breast reconstruction. Nipple reconstruction is an important step in breast reconstruction. Many surgeons have investigated of nipple reconstruction using the flap technique after breast reconstruction with the autologous tissue. The objective of this study is to evaluate the results of nipple reconstruction using the C - V flap technique after breast reconstruction with the only breast expander. Methods: From April 2006 to May 2008, the authors treated 17 patients of nipple reconstruction using C - V flap technique, who were received breast reconstruction with the only breast expander. We have predicted decrease of the size of reconstructed nipple and designed flap a little larger than wanted nipple size. Nipple splint was applied for 4 - 6 months for minimizing decrease of the size of reconstructed nipple. The diameter and height of the reconstructed nipple were measured and patient's satisfaction score was assessed. Results: Mean follow-up duration was 12.5 months. Among the 17 patients, the average absorption rate by height of nipple was 47.0%. Partial necrosis was noted in 1 case, and treated well with conservative management. There was no other significant complications noted. Patient's satisfactory score was assessed by the height, design and location of the nipple. The average of satisfaction score was 85%, 68%, 62% and total average was 83%. Conclusion: The authors experienced 17 patients of nipple reconstruction using the C - V flap technique after breast reconstruction with the only breast expander. The absorption rate of the size of the nipple, complications and patient's satisfactory score of this study were similar to those of nipple reconstruction after breast reconstruction with the autologous tissue. It is expected that nipple reconstruction after breast reconstruction with the only breast expander is safe and reliable. It is considered that a long - term study is necessary.

Keywords

References

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