TY - JOUR
T1 - Nipple reconstruction using the modified top hat flap with banked costal cartilage graft
T2 - Long-term follow-up in 58 patients
AU - Cheng, Ming Huei
AU - Rodriguez, Eduardo D.
AU - Smartt, James M.
AU - Cardenas-Mejia, Alexander
PY - 2007/12
Y1 - 2007/12
N2 - The long-term projection of nipple reconstruction is a challenge. Fifty-eight consecutive female patients underwent 58 nipple reconstructions with modified top hat flap with cartilage graft following breast reconstruction in 54 autologous tissues and 4 implants, respectively.The average neonipple size was 11.5 mm initially and 8.5 mm at a mean follow-up of 44.9 months (range, 24-65 months), with a mean decrease in projection of 26.1%. Thirty-three patients achieved an excellent result, 20 patients a good result, 3 patients a fair result, and 2 patients a poor result, respectively. The complication rate was 12.1% (7 of 58 cases), and there was no statistically significant difference between the immediate and delayed groups; the revision rate was 8.6% (5 of 58 cases).The modified top hat flap with banked costal cartilage graft provides a sustainable solution to the gradual loss of nipple projection, with few complications.
AB - The long-term projection of nipple reconstruction is a challenge. Fifty-eight consecutive female patients underwent 58 nipple reconstructions with modified top hat flap with cartilage graft following breast reconstruction in 54 autologous tissues and 4 implants, respectively.The average neonipple size was 11.5 mm initially and 8.5 mm at a mean follow-up of 44.9 months (range, 24-65 months), with a mean decrease in projection of 26.1%. Thirty-three patients achieved an excellent result, 20 patients a good result, 3 patients a fair result, and 2 patients a poor result, respectively. The complication rate was 12.1% (7 of 58 cases), and there was no statistically significant difference between the immediate and delayed groups; the revision rate was 8.6% (5 of 58 cases).The modified top hat flap with banked costal cartilage graft provides a sustainable solution to the gradual loss of nipple projection, with few complications.
KW - Breast reconstruction
KW - Costal cartilage graft
KW - Modified top hat flap
KW - Nipple reconstruction
UR - http://www.scopus.com/inward/record.url?scp=36749091804&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e318048573c
DO - 10.1097/SAP.0b013e318048573c
M3 - 文章
C2 - 18046141
AN - SCOPUS:36749091804
SN - 0148-7043
VL - 59
SP - 621
EP - 628
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
IS - 6
ER -