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2017, Number 3

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Cir Plast 2017; 27 (3)

Reconstruction of nipple areola complex with tetris flap

Servín-Damián LD, Venegas-Eguia A, Villarreal-Salgado JL, Navarro-Meza MC
Full text How to cite this article

Language: Spanish
References: 7
Page: 136-140
PDF size: 289.07 Kb.


Key words:

Breast, nipple-areola complex, tetris flap, mastectomy, reconstruction.

ABSTRACT

The reconstruction of the nipple-areola has evolved in its process, significantly improving the normal appearance of the reconstructed breast in patients treated for breast cancer, in which the mastectomy allowed for control of the disease; and the reconstruction an opportunity to reintegrate fully into family and work environments after a disease-free period. The formation of the nipple-areola complex represents the final episode of reconstruction in patients mastectomized from breast cancer; success depends on the use of a proper technique and the experience of the surgeon. We present a series of cases of patients treated in a third level hospital in the city of Guadalajara, Jalisco, Mexico, for the reconstruction of the nipple-areola complex. In the period of one year (2016) eight women from 44 to 60 years were treated. We carried out reconstruction with local flap type tetris, which takes the form of an easily reproduced geometric figure of four squares connected orthogonally. The results are an average projection of 8.1 cm; the longest, was related to the skin of the donor area after the formation of the new breast mound and there were no complications. The evaluation at six months showed the conservation of the projection. We conclude that the reconstruction of the complex areola nipple with a local flap type tetris is easy, safe, keeps the anatomical projection of the nipple and the esthetic results are favorable.


REFERENCES

  1. Lazcano-Ponce E, Mohar-Betancourt A, Meneses-García A, Hernández-Ávila M. Cancer burden in Mexico: urgent challenges to be met. Salud Publica Mex 2016; 58 (2): 101-103.

  2. Bykowski MR, Emelife PI, Emelife NN, Chen W, Panetta NJ, de la Cruz C. Nipple-areola complex reconstruction improves psychosocial and sexual well-being in women treated for breast cancer. J Plast Reconstr Aesthet Surg 2017; 70 (2): 209-214.

  3. Sisti A, Grimaldi L, Tassinari J, Cuomo R, Fortezza L, Bocchiotti MA et al. Nipple-areola complex reconstruction techniques: A literature review. Eur J Surg Oncol 2016; 42 (4): 441-465.

  4. Jalini L, Lund J, Kurup V. Nipple reconstruction using the C-V flap technique: long-term outcomes. Int J Surg Med 2016; 2 (3): 162-166.

  5. Zhong T, Antony A, Cordeiro P. Surgical outcomes and nipple projection using the modified skate flap for nipple-areolar reconstruction in a series of 422 implant reconstructions. Ann Plast Surg 2009; 62 (5): 591-595.

  6. Neligan P. Plastic surgery. London [U. A.]: Elsevier Saunders; 2013. 5(1)5.

  7. Kim YE, Hong KY, Minn KW, Jin US. A novel nipple reconstruction technique for maintaining nipple projection: the boomerang flap. Arch Plast Surg 2016; 43 (5): 470-473.




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Cir Plast. 2017;27