La reconstruction de l’aréole et du mamelon

Bodin, F.; Bruant-Rodier, C.; Ruffenach, L.; Dissaux, C.

doi:10.1016/j.anplas.2018.06.010

Cited by 6 publications

(8 citation statements)

References 7 publications

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“…Its use remains popular when contralateral nipple has a projection of over 1 cm [ 28 ]. There are two main techniques: longitudinal splitting and decapitation [ 29 ]. For the latter approach, at least 50% of the donor nipple’s original height must be left intact to ensure adequate residual projection and sensation.…”

Section: Resultsmentioning

confidence: 99%

“…Irradiated patients with breast implants have a breast skin envelope that is thinned even further. Raising dermal or subcutaneous skin flaps for NAR in these cases may be contraindicated [ 3 , 26 ], and nipple sharing is considered the safest technique [ 29 , 37 , 52 , 53 ]. However, Yong Hong et al routinely perform NAR on implant-based breast mounds using local flaps by carefully selecting patients [ 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…Patients who undergo NAR are overall more satisfied with their BR than those who do not [ 3 , 84 ]. However, patient satisfaction related to NAR results mostly depends on the maintenance of nipple projection and color matching [ 29 , 85 , 86 ]. Conversely, NAR dissatisfaction usually stems from a lack of long-term nipple projection and color mismatch, as well as unappealing shape and nipple malposition [ 3 , 85 ].…”

Section: Resultsmentioning

confidence: 99%

“…The composite nipple is sutured on a de-epithelialized recipient area using interrupted sutures. Most authors advocate for the use of stitches to close the tip of the donor nipple [29], though Haslik et al favor second intention healing, which occurs in 10 days on average and provides an equally acceptable scar and sensibility [30]. Local flaps represent the most commonly described technique for nipple reconstruction [6,31].…”

Section: Nipple and Areola Reconstruction Techniquesmentioning

confidence: 99%

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Guiding Nipple-Areola Complex Reconstruction: Literature Review and Proposal of a New Decision-Making Algorithm

et al. 2020

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Background Nipple-areola complex reconstruction (NAR) most commonly represents the finishing touch to breast reconstruction (BR). Nipple presence is particularly relevant to the patient’s psyche, beyond any shadow of doubt. Many reconstructive options have been described in time. Surgery is easy, but final result is often disappointing on the long run. Methods The goal of this manuscript is to analyze and classify knowledge concerning NAR techniques and the factors that influence success, and then to elaborate a practical evidence-based algorithm. Out of the 3136 available articles as of August 8th, 2020, we selected 172 manuscripts that met inclusion criteria, which we subdivided into 5 main topics of discussion, being the various NAR techniques; patient factors (including patient selection, timing and ideal position); dressings; potential complications and finally, outcomes/patient satisfaction. Results We found 92 articles describing NAR techniques, 41 addressing patient factors (out of which 17 discussed patient selection, 14 described ideal NAC location, 10 described appropriate timing), 10 comparing dressings, 7 studying NAR complications, and 22 addressing outcomes and patient satisfaction. We elaborated a comprehensive decision-making algorithm to help narrow down the choice among NAR techniques, and choose the correct strategy according to the various scenarios, and particularly the BR technique and skin envelope. Conclusions No single NAR technique provides definitive results, which is why we believe there is no “end-all be-all solution”. NAR must be approached as a case-by-case situation. Furthermore, despite NAR being such a widely discussed topic in scientific literature, we still found a lack of clinical trials to allow for more thorough recommendations to be elaborated. Level of Evidence III This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Nipple and Areola Reconstruction Techniquesmentioning

confidence: 99%

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Guiding Nipple-Areola Complex Reconstruction: Literature Review and Proposal of a New Decision-Making Algorithm

et al. 2020

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“…Além do desbridamento do material necrótico e enxertia de pele total, foi discutido com a paciente sobre a possibilidade de tatuagem para correção das áreas de hipocromias. Embora não tenha sido verificada a presença excessiva de pelos sobre a área enxertada durante o acompanhamento, é comum a ocorrência desse tipo de alteração em enxertos colhidos da face interna da coxa, podendo necessitar de depilação manual ou com auxílio de laser 10 .…”

Section: Relato Do Casounclassified

Abordagem reconstrutora após injeção de silicone líquido industrial nas mamas

Meira¹,

Lisboa²,

Moraes³

2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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A injeção de silicone líquido industrial nas mamas é um procedimento ilícito e que pode desencadear manifestações clínicas locais e sistêmicas de elevada gravidade para o paciente. As mulheres e indivíduos transgêneros correspondem às principais vítimas, podendo evoluir com: nodulações dolorosas, migração à distância, resposta inflamatória, ulceração, embolização e óbito. Embora não seja possível estabelecer uma relação causal entre a presença de siliconoma e o desenvolvimento de câncer de mama, estudos de imagem e histopatológicos podem não identificar com clareza um eventual tumor de origem neoplásica concomitante. Atualmente, não há protocolos de abordagem do siliconoma, porém, recomenda-se a ressecção cirúrgica quando possível, sendo geralmente necessária mastectomia simples seguida de reconstrução imediata. Reabordagens cirúrgicas podem ser necessárias para tratamento de complicações associadas. O presente trabalho apresenta um relato de caso de injeção de silicone líquido industrial nas mamas, realizado por esteticista, com repercussões locais severas para a paciente, e cujo tratamento envolveu procedimentos cirúrgicos secundários e acompanhamento por equipe multidisciplinar.

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Traitement Secondaire chirurgical et médical des cicatrices

Fourn¹,

Bogaert²

2019

Annales de Chirurgie Plastique Esthétique

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La reconstruction de l’aréole et du mamelon

Cited by 6 publications

References 7 publications

Guiding Nipple-Areola Complex Reconstruction: Literature Review and Proposal of a New Decision-Making Algorithm

Guiding Nipple-Areola Complex Reconstruction: Literature Review and Proposal of a New Decision-Making Algorithm

Abordagem reconstrutora após injeção de silicone líquido industrial nas mamas

Traitement Secondaire chirurgical et médical des cicatrices

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