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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Chia, Hui-Ling (Department of Plastic, Reconstructive and Aesthetic Surgery, KK Women's and Children's Hospital) Wong, Manzhi (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital) Tan, Bien-Keem (Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제2호
발행연도
2014.1
수록면
158 - 162 (5page)

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초록· 키워드

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Background Loss of nipple projection is a common problem following nipple reconstruction. The aim of this study was to demonstrate that the use of a tightly rolled dermal graft is effective in the long-term maintenance of nipple projection. Methods Nipple reconstruction was performed using the C-V flap technique. A dermal graft was harvested from the dog-ear portion of previous scars. The graft was rolled tightly into a compact cylinder and used to augment the nipple reconstruction. Postoperatively, stacked Allevyn dressing was used for protecting the nipple from compression for a minimum of two months. Nipple projection was measured at the time of surgery and at 12 months postoperatively. Results Forty nipple reconstructions were performed using this technique. There were 19 transverse rectus abdominis musculocutaneous (TRAM) flaps, 10 latissimus dorsi (LD) flaps, and 11 tissue-expanded breast mounds. At one year, the mean projection was 0.80 cm (range, 0.62-1.22 cm). The twelve-month average maintenance of nipple projection was 70.2% for the TRAM flap group, 76.3% for the LD flap group, and 61.8% for the tissue-expanded group. In two patients with previous irradiation of the reconstructed breasts, relatively poor maintenance of nipple projection was noted (45.7%). No complications were noted, and all of the donor sites healed well primarily. Conclusions Our results demonstrated that the use of a C-V flap with a tightly rolled dermal graft for nipple reconstruction improves the long-term maintenance of nipple projection. Its advantages include reproducibility, technical simplicity, cost-effectiveness, and minimal donor site morbidity.
#Mammaplasty #Nipples #Dermis #Transplants

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참고문헌 (19)

참고문헌 신청
Boccola MA / 2010 / Surgical correction and reconstruction of the nipple-areola complex: current re-view of techniques / J Reconstr Microsurg 26:589~600 google schola Jones G / 1994 / Nipple-areolar reconstruction / Oper Tech Plast Reconstr Surg 1:35~38 google schola Shestak KC / 2002 / Assessment of long-term nipple projection: a comparison of three tech-niques / Plast Reconstr Surg 110:780~786 google schola Losken A / 2001 / Nipple reconstruc-tion using the C-V flap technique: a long-term evaluation / Plast Reconstr Surg 108:361~369 google schola Few JW / 1999 / Long-term predictable nipple projection following reconstruction / Plast Reconstr Surg 104:1321~1324 google schola

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