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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2018, Number 2

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Cir Plast 2018; 28 (2)

Neoformation of the nipple with two opposite «L» dermal fat flaps

Contreras MM, Barreda GMA

Language: Spanish
References: 19
Page: 55-62
PDF size: 412.99 Kb.


ABSTRACT

Nipple-areola complex is removed as part of the resected skin for a mastectomy, and the objective of its reconstruction is to achieve a position, symmetry, color, size, projection, and sensitivity similar to that of the healthy breast. No technique has been shown to be superior to another in a significant way, two stands out for maintaining a better projection of the neo-nipple, for simplicity and safety of their execution («ice skate» technique and flap in C-V). We suggest a new technique in the neoformation of the nipple with opposite double «L» dermal flaps. The objective is to compare a new technique of neoformation of the nipple with two techniques considered the gold standard in an experimental model. Six pigs of Vietnamese breed were used, in each one 2 neo-nipples of each technique were created (with areola and without areola). The follow-up was at 8 months and the results were compared with the ANOVA test. There were no statistically significant differences between the experimental technique (doublet «L» flaps) and the known techniques (C-V flap and «ice skate») for the preservation of the neo-nipple (p › 0.05). The «ice skating» technique was superior in the nipple projection (p ‹ 0.05) and the position of the neo-nipple and areola reconstruction influenced the «ice skate» and C-V flap techniques.


REFERENCES

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