| Immediate nipple reconstruction on a free TRAM flap breast reconstruction. | |
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MedLine Citation:
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PMID: 17898584 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Reconstruction of the nipple-areola complex is usually deferred until breast mound reconstruction is complete. The authors review their experience with a technique that allows for shaping of a free transverse rectus abdominis myocutaneous (TRAM) flap and immediate nipple reconstruction and compare this technique with delayed nipple reconstruction. METHODS: A retrospective chart review demonstrated 21 patients who underwent immediate nipple reconstruction, 10 of whom had complete photographs and records for review. Ninety patients underwent delayed nipple reconstruction. Twenty of these patients were chosen for comparison, 15 of whom had complete photographs and records. Age, body mass index, comorbidities, procedures required, complications, and time to completion were reviewed. A multiobserver, multicharacteristic, standardized photographic review of cosmetic outcomes was conducted. RESULTS: Time from mastectomy to completion of reconstruction, not including areolar tattooing, was 1 day (median) versus 125 days (median) in the immediate and delayed groups, respectively (p = 0.003). The number of procedures required to complete reconstruction before areolar tattooing was one (median) in the immediate group and two (median) in the delayed group (p < 0.001). Complication rates were similar in both groups. Subjective review demonstrated no difference in the aesthetic outcome of the breast mound or nipple-areola complex reconstruction. CONCLUSIONS: Patients having immediate nipple reconstruction in the setting of a free TRAM breast reconstruction completed their reconstruction earlier, required fewer procedures, and had aesthetic results comparable to patients having traditional delayed nipple reconstruction. Complications and revision rates were comparable. |
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Authors:
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Eric H Williams; Lawrence Z Rosenberg; Paul Kolm; Jorge I de la Torre; R Jobe Fix |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Plastic and reconstructive surgery Volume: 120 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-27 Completed Date: 2007-10-19 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1115-24 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Division of Plastic Surgery, University of Alabama at Birmingham, USA. williamseb@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Esthetics Female Humans Mammaplasty / methods* Middle Aged Nipples / surgery* Retrospective Studies Surgical Flaps* Tattooing Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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