Document Detail

Effectiveness of the Asteame Nipple Guard™ in maintaining projection following nipple reconstruction: a prospective randomised controlled trial.
MedLine Citation:
PMID:  19897430     Owner:  NLM     Status:  MEDLINE    
As the final step in breast reconstruction, nipple reconstruction is considered a minor surgical procedure. However, despite the multitude of techniques and postoperative dressings proposed, none have proven to resist the tendency of the reconstructed nipple to gradually flatten over time. A prospective randomized controlled trial was conducted assessing the value of using the Asteame Nipple Guard™ compared to standard gauze dressing in maintaining nipple projection postoperatively. A total of 30 nipple reconstructions in 22 patients were included in the study with randomisation of 15 nipples to each study arm. Nipple projection was measured at various time points postoperatively with calculation of the percent changes in nipple projection. The mean decrease in long-term nipple projection at 6 months in the experimental group was 46.6% vs. 71.8% in the control group (p<0.05). In conclusion, the Nipple Guard™ helps in maintaining nipple projection postoperatively.
James H Rosing; Arash Momeni; Kathy Kamperman; David Kahn; Geoffrey Gurtner; Gordon K Lee
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-11-07
Journal Detail:
Title:  Journal of plastic, reconstructive & aesthetic surgery : JPRAS     Volume:  63     ISSN:  1878-0539     ISO Abbreviation:  J Plast Reconstr Aesthet Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264239     Medline TA:  J Plast Reconstr Aesthet Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1592-6     Citation Subset:  IM    
Copyright Information:
Copyright 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Division of Plastic and Reconstructive Surgery, Stanford University Hospital and Clinics, Stanford, CA, USA.
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MeSH Terms
Mammaplasty / instrumentation*,  methods*
Middle Aged
Nipples / anatomy & histology*,  surgery*
Prospective Studies
Surgical Flaps
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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