Skin/nipple sparing mastectomies and implant-based breast reconstruction in patients with large and ptotic breast: Oncological and reconstructive results

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• 作者：Maurizio B. Nava^a ; Joseph Ottolenghi^a ; Angela Pennati^a ; Andrea Spano^a ; Novella Bruno^a ; Giuseppe Catanuto^a ; ^d ; ^{giuseppecatanuto@yahoo.it} ; Dominik Boliglowa^a ; Valentina Visintini^a ; Stefano Santoro^c ; Secondo Folli^b
• 关键词：Skin-sparing mastectomy ; Breast reconstruction ; Nipple sparing mastectomy ; Skin reducing mastectomy ; Implant based reconstructions
• 刊名：The Breast
• 出版年：2012
• 期刊代码：321_09609776
• 类别：med
• 出版时间：June, 2012
• 卷：21
• 期：3
• 页码：267-271
• 文件大小：614 K

摘要

In this study we performed 77 procedures on 65 patients fulfilling the oncological criteria for skin-sparing mastectomy and presenting with large or medium size breasts. All the operations were performed as a single-stage procedure with an anatomical prosthesis allocated into a compound pouch, made up of the pectoralis major, serratus anterior fascia, and a lower dermal adipose flap. The medium size of the anatomical implants employed was 444.3聽cc. The implant removal rate was 14.2%. At a median follow-up of 36 months we reported a 0.5%local recurrence rate per year. The overall specific survival rate was 98.2%. This study confirms the safety and effectiveness of this technical variation of skin and nipple-sparing mastectomies. All breast, irrespective of mammary shape and size, can be reconstructed with medium size implants and, if required, contralateral adjustments. The overall complication rate is in keeping with previous studies.