Immediate breast construction with silicone prosthesis after nipple-areola complex sparing mastectomy

doi:10.3969/j.issn.2095-4344.2015.03.023

Abstract

Abstract:

BACKGROUND: As Chinese women have the smaller breast capacity, the traditional breast conserving operation may lead to the poor breast shape, moreover, breast reconstruction with latissimus dorsi myocutaneous flap and transverse rectus abdominis myocutaneous flap is very difficult and has trauma and more complications. Therefore, the immediate breast construction with implants after nipple-areola complex sparing mastectomy is a good choice.

OBJECTIVE: To investigate the feasibility of immediate breast construction using silicone prosthesis after nipple-areola complex sparing mastectomy.

METHODS: The immediate breast reconstruction after nipple-areola complex sparing mastectomy was performed in 33 female patients with breast cancer (20 cases in the left side and 13 cases in the right side), aged 30-48 years. The effects of reconstructed breast were evaluated according to objective and subjective criteria during the follow-up.

RESULTS AND CONCLUSION: Of the 33 cases, 2 cases had nipple-areola complex ischemic necrosis postoperatively and were cured quickly; 1 case had intra-operative blood loss > 800 mL and recovered well after fluid and blood transfusion. The aesthetic outcome was well in 31 cases and the satisfactory rate was 94% during 10-51 months of follow-up period. No recurrence and metastasis were found in all cases. The operation method of immediate breast reconstruction with implants after nipple-areola complex sparing mastectomy is maneuverable and has excellent aesthetic effects with no severe complications.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

全文链接：

Key words: Silicone Gels, Breast Implantation, Breast Neoplasms

CLC Number:

R318

He Yi-teng, Song Mu, Chen Jing, Yu Bing, Zhu Li-ping. Immediate breast construction with silicone prosthesis after nipple-areola complex sparing mastectomy[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(3): 455-459.

Figures/Tables 1

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