Skin Reduction Nipple-Sparing Mastectomy

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• 作者：Jill Dietz ; Greg Fedele
• 刊名：Annals of Surgical Oncology
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：22
• 期：10
• 页码：3404
• 全文大小：335 KB
• 作者单位：Jill Dietz (1)
  Greg Fedele (2)
  
  1. Case Western Reserve School of Medicine, Seidman Cancer Center, Cleveland, OH, USA
  2. Center for Plastic and Cosmetic Surgery, Cleveland, OH, USA
  
• 刊物主题：Surgical Oncology; Oncology; Surgery;
• 出版者：Springer US
• ISSN：1534-4681

文摘

Nipple-sparing mastectomy has been shown to be a safe and effective treatment for many patients with early stage breast cancer. Large-breasted women who are gene positive or who have early breast cancer are not traditionally candidates for nipple-sparing mastectomy. The blood supply to the nipple is via the breast tissue and also the dermis, both of which would be severed if standard skin reduction were combined with mastectomy. This video shows how a nipple-sparing mastectomy can be combined with skin reduction while preserving the blood supply to the nipple. The excess skin is deepithelialized to preserve the dermal vessels. After mastectomy, the excess skin is imbricated to reduce the skin envelope. The deepithelialized lower flap “autoderm-can be sewn to the pectoralis muscle for coverage of the tissue expander. This technique allows large-breasted and ptotic patients to undergo mastectomy with preservation of their nipple–areolar complex as well as skin reduction to yield an improved cosmetic result. Electronic supplementary materialThe online version of this article (doi:10.-245/?s10434-015-4722-x) contains supplementary material, which is available to authorized users.