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Nipple-sparing mastectomy through periareolar incision with immediate reconstruction

Annals of Surgical Treatment and Research 2020년 98권 2호 p.57 ~ 61
백세현, 홍승은, 우경제, 우주현, 임우성,
소속 상세정보
백세현 ( Paek Se-Hyun ) - Ewha Womans University College of Medicine Department of Surgery
홍승은 ( Hong Seung-Eun ) - Ewha Womans University College of Medicine Department of Plastic Surgery
우경제 ( Woo Kyong-Je ) - Ewha Womans University College of Medicine Department of Plastic Surgery
우주현 ( Woo Joo-Hyun ) - Ewha Womans University College of Medicine Department of Surgery
임우성 ( Lim Woo-Sung ) - Ewha Womans University College of Medicine Department of Surgery

Abstract


Purpose: Nipple-sparing mastectomy (NSM) has become increasingly popular due to improved cosmesis without compromising oncologic safety. Radial and inframammary incisions are usually used to achieve NSM, with periareolar incisions usually being avoided because of the risk to nipple-areola complex viability. In an attempt to maximize esthetic effects, we performed NSM through periareolar incision with immediate reconstruction. We report our initial experience.

Methods: This case series consisted of all consecutive patients (n = 34) who underwent NSM through a periareolar incision in our institution between August 2017 and December 2018. All patients underwent NSM through periareolar incision followed by immediate reconstruction with an implant or deep inferior epigastric perforator flap. Patient demographics, tumor and treatment characteristics, and short-term postoperative outcomes were reviewed.

Results: The mean patient age was 46.74 ± 6.69 years (range, 38?62 years), and the mean operation time was 96.68 ± 28.00 minutes. Indications included in situ cancer in 12 cases and invasive cancer in 22 cases. There was 1 major complication (postoperative hematoma) requiring operative reintervention. No other complications including fistula, implant exposure, or reconstruction failure was observed. At the time of writing, no case of local recurrence has been observed.

Conclusion: Our initial report shows that NSM with immediate reconstruction may successfully be performed through periareolar incision. This method maximizes esthetic effects and may be an appropriate surgical option for NSM.

키워드

Mammaplasty; Periareolar; Subcutaneous mastectomy

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